McQueen Lynn, Mittman Brian S, Demakis John G
Office of Quality and Performance, US Department of Veterans Affairs (10Q), 810 Vermont Avenue, NW, Washington, DC 20420, USA.
J Am Med Inform Assoc. 2004 Sep-Oct;11(5):339-43. doi: 10.1197/jamia.M1499. Epub 2004 Jun 7.
The U.S. Veterans Health Administration (VHA)'s Quality Enhancement Research Initiative (QUERI) is an innovative integration of health services research, policy, and clinical care delivery designed to improve the quality, outcomes, and efficiency of VHA health care through the identification and implementation of evidence-based practices in routine care settings. A total of eight condition-specific QUERI centers are currently in operation, each pursuing an integrated portfolio of activities designed to identify and correct gaps in clinical quality and performance and to derive generalizable scientific knowledge regarding quality improvement processes and methods and their effectiveness. This overview article describes QUERI's mission, history, structure, and activities and provides a brief summary of key findings and impacts.
美国退伍军人健康管理局(VHA)的质量提升研究计划(QUERI)是健康服务研究、政策与临床护理交付的创新性整合,旨在通过在常规护理环境中识别并实施循证实践,提高VHA医疗保健的质量、效果和效率。目前共有八个针对特定病症的QUERI中心在运作,每个中心都在开展一系列综合活动,旨在识别并纠正临床质量和绩效方面的差距,并获取有关质量改进过程、方法及其有效性的可推广科学知识。这篇综述文章介绍了QUERI的使命、历史、结构和活动,并简要总结了主要发现和影响。