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纽约长老会医院:将创新转化为实践。

NewYork-Presbyterian Hospital: translating innovation into practice.

作者信息

Johnson Trudy, Currie Gail, Keill Patricia, Corwin Steven J, Pardes Herbert, Cooper Mary Reich

机构信息

NewYork-Presbyterian Hospital, New York City, NY, USA.

出版信息

Jt Comm J Qual Patient Saf. 2005 Oct;31(10):554-60. doi: 10.1016/s1553-7250(05)31072-5.

Abstract

BACKGROUND

NewYork-Presbyterian (NYP) Hospital, a 2,242-bed not-for-profit academic medical center, was formed by a merger of The New York Hospital and The Presbyterian Hospital in the City of New York. It is also the flagship for the NewYork-Presbyterian Healthcare System, with 37 acute care facilities and 18 others.

OVERALL APPROACH TO QUALITY AND SAFETY

The hospital embeds safety in the culture through strategic initiatives and enhances service and efficiency using Six Sigma and other techniques to drive adoption of improvements. Goals are selected in alignment with the annual strategic initiatives, which are chosen on the basis of satisfaction surveys, patient and family complaints, community advisory groups, and performance measures, among other sources.

USE OF INFORMATION TO SET AND EVALUATE QUALITY GOALS AND PRIORITIZE INITIATIVES

A new business intelligence system enables online, dynamic analysis of performance results, replacing static paper reports. Advanced features in the clinical information systems include computerized physician order entry; interactive clinical alerts for decision support; a real-time infection control tracking system; and a clinical data warehouse supporting data mining and analysis for quality improvement, decision making, and education.

APPROACH TO ADDRESSING THE SIX IOM QUALITY AIMS

To achieve clinical, service, and operational excellence, NYP focuses on all Institute of Medicine quality aims.

摘要

背景

纽约长老会医院(NYP)是一家拥有2242张床位的非营利性学术医疗中心,由纽约医院和纽约市长老会医院合并而成。它也是纽约长老会医疗系统的旗舰医院,拥有37家急症护理机构及另外18家机构。

质量与安全的总体方法

医院通过战略举措将安全融入文化之中,并运用六西格玛及其他技术提高服务和效率,以推动改进措施的采用。目标的选定与年度战略举措保持一致,而年度战略举措是根据满意度调查、患者及家属投诉、社区咨询小组以及绩效指标等多方面因素确定的。

利用信息设定和评估质量目标并确定举措的优先级

一个新的商业智能系统实现了对绩效结果的在线动态分析,取代了静态的纸质报告。临床信息系统的先进功能包括计算机化医嘱录入;用于决策支持的交互式临床警报;实时感染控制跟踪系统;以及一个支持数据挖掘和分析以促进质量改进、决策制定和教育的临床数据仓库。

实现医学研究所六项质量目标的方法

为实现临床、服务和运营方面的卓越,纽约长老会医院专注于医学研究所的所有质量目标。

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