Schumer M F, March C
Health Prog. 1987 Nov;68(9):47-8, 51.
A system approach to quality assurance in long-term care facilities considers residents' total environment and all aspects of their livers--physical, social, psychological, spiritual, and intellectual. This approach lends a holistic perspective to quality assurance, expanding it from a "numbers game" to an integral part of the facility's philosophy. In developing measurement criteria for a quality assurance program, staff should not overlook systems, procedures, and reporting mechanisms already in place that may provide useful data. Some of these systems include risk management activities, continuing education programs, compliance reports, clinical affiliations, performance reviews, and peer review and administrative audits. Residents and their families are key sources of information about the quality of care. In addition to surveying these groups, long-term care facilities also should involve their resident councils in the quality assurance process.
长期护理机构质量保证的系统方法考虑居民的整体环境以及他们生活的各个方面——身体、社会、心理、精神和智力方面。这种方法为质量保证提供了一个整体视角，将其从“数字游戏”扩展为机构理念的一个组成部分。在制定质量保证计划的衡量标准时，工作人员不应忽视已经存在的可能提供有用数据的系统、程序和报告机制。其中一些系统包括风险管理活动、继续教育项目、合规报告、临床附属关系、绩效评估以及同行评审和行政审计。居民及其家庭是护理质量信息的关键来源。除了对这些群体进行调查外，长期护理机构还应让其居民委员会参与质量保证过程。
