Mohr J J, Batalden P B
Schools of Public Health and Pharmacy, University of North Carolina at Chapel Hill, CB#7360 Beard Hall, Chapel Hill, NC 27599-7360, USA.
Qual Saf Health Care. 2002 Mar;11(1):45-50. doi: 10.1136/qhc.11.1.45.
The clinical microsystem puts medical error and harm reduction into the broader context of safety and quality of care by providing a framework to assess and evaluate the structure, process, and outcomes of care. Eight characteristics of clinical microsystems emerged from a qualitative analysis of interviews with representatives from 43 microsystems across North America. These characteristics were used to develop a tool for assessing the function of microsystems. Further research is needed to assess microsystem performance, outcomes, and safety, and how to replicate "best practices" in other settings.
临床微系统通过提供一个框架来评估和评价护理的结构、过程及结果,将医疗差错和伤害减少置于更广泛的护理安全与质量背景之中。对北美43个微系统的代表进行访谈的定性分析得出了临床微系统的八个特征。这些特征被用于开发一种评估微系统功能的工具。还需要进一步研究来评估微系统的性能、结果和安全性,以及如何在其他环境中复制“最佳实践”。