Turner R, Whitten B
Quality Resource Department, Tamworth Base Hospital and Health Service, NSW, Australia.
Aust Clin Rev. 1992;12(2):63-70.
The quality assurance (QA) initiative has been slow to show results. Quality assurance tools have been underdeveloped, and quality by inspection unacceptable to clinicians. A base hospital's experience with continuous quality improvement (CQI) as a means to more effective quality assurance is described. Discharge data grouped into diagnosis related groups (DRG) and analysed for inter-hospital comparison provided reliable statistical data with which to monitor the hospital's performance. The CQI tools were used to analyse the nature of the problem, and correct the deficiency. The new methodology would seem to indicate greater promise for successful quality assurance programmes in the future.
质量保证（QA）计划成效显现缓慢。质量保证工具发展不足，且临床医生难以接受通过检查来保证质量的方式。本文描述了一家基层医院将持续质量改进（CQI）作为实现更有效质量保证手段的经验。将出院数据分组为诊断相关组（DRG）并进行分析以进行医院间比较，提供了可靠的统计数据来监测医院的绩效。使用CQI工具分析问题的本质并纠正缺陷。新方法似乎预示着未来成功的质量保证计划更具前景。
