Carroll Cathryn A, Cox Karen S, Santos Susan R, Simon Stephen D
Division of Pharmacy Practice, Department of Economics, University of Missouri, Kansas City, MO, USA.
Semin Nurse Manag. 2002 Jun;10(2):95-9.
Many experts believe it is time to do something about the high number of medical errors and adverse events highlighted in the recent IOM report. This article examines how front line managers can use a valuable quality improvement/assurance tool--the statistical process control chart--to track and analyze medical error rates. It includes a step-by-step guide to the creation and interpretation of a demonstration chart, discusses potential barriers to the use of statistical process control charts, and suggests ways to overcome those barriers.
许多专家认为，是时候对近期医学研究所（IOM）报告中所强调的大量医疗差错和不良事件采取措施了。本文探讨一线管理人员如何运用一种有价值的质量改进/保证工具——统计过程控制图，来跟踪和分析医疗差错率。文中包括一份创建和解读示范图表的分步指南，讨论了使用统计过程控制图的潜在障碍，并提出了克服这些障碍的方法。
