Schisler J Q
Int Anesthesiol Clin. 1992 Spring;30(2):45-56. doi: 10.1097/00004311-199230020-00006.
The "golden rules" of CQI, from our experience, could be summarized as follows: 1. Create the appropriate environment first by teaching the Deming principles. 2. Establish effective methods of group communication. 3. Do not focus on individual error. Focus on processes and your system of care. Make certain that case presentations do not spotlight individuals. 4. Look for the common causes of problems. 5. Use statistical methods appropriately. Identify what is clinically important. Make any data collection effort meaningful, and make sure that all members understand why the data is being collected. 6. If an error is identified, ensure that the practitioners involved are active participants in the analysis. 7. Recognize good performance. If something is done well, have the provider present the case to the group. This step is particularly worthwhile if the case illustrates a new process that will remedy a problem other members of the department have experienced.
根据我们的经验，持续质量改进（CQI）的“黄金法则”可总结如下：1. 首先通过传授戴明原则营造合适的环境。2. 建立有效的团队沟通方法。3. 不要专注于个人错误。关注流程和护理系统。确保病例汇报不突出个人。4. 寻找问题的共同原因。5. 恰当地使用统计方法。确定临床重要事项。使任何数据收集工作都有意义，并确保所有成员都明白为何收集数据。6. 如果识别出错误，确保相关从业者积极参与分析。7. 认可良好表现。如果某项工作完成得好，让执行者向团队汇报该病例。如果该病例展示了一个能解决部门其他成员所经历问题的新流程，这一步骤就特别值得。
