Ward Marcia M, Evans Thomas C, Spies Arthur J, Roberts Lance L, Wakefield Douglas S
Department of Health Management and Policy, University of Iowa, 200 Hawkins Drive, E210GH, Iowa City, IA 52242-1008, USA.
Am J Med Qual. 2006 Mar-Apr;21(2):101-8. doi: 10.1177/1062860605284523.
The National Quality Forum (NQF) recently released a list of "30 Safe Practices" that were identified as relevant for all hospitals. The purpose of the present analysis was to assess hospitals' perceptions of each of the NQF 30 Safe Practices in terms of priority and progress. One hundred of Iowa's hospitals (86%) completed a survey. The highest progress ratings were for items involving hand washing, unit-dose medication dispensing, influenza vaccinations, implementing protocols to prevent wrong-site procedures, and standardized methods for labeling and storing medications. The lowest progress ratings were for intensive care units staffed by intensivists and implementing a computerized provider order entry system. Overall, safe practices that have been recommended for some time had higher priority and progress ratings. Most safe practices were equally endorsed by large and small hospitals, suggesting that the NQF goal of identifying safe hospital practices may be attainable for most of the safe practices.
美国国家质量论坛（NQF）最近发布了一份“30项安全措施”清单，这些措施被认定适用于所有医院。本分析的目的是评估医院对NQF 30项安全措施中每一项措施在优先级和进展方面的看法。爱荷华州的100家医院（86%）完成了一项调查。进展评级最高的项目包括洗手、单剂量药物调配、流感疫苗接种、实施防止手术部位错误的方案以及药物标签和储存的标准化方法。进展评级最低的项目是由重症监护医生配备的重症监护病房以及实施计算机化医嘱录入系统。总体而言，已被推荐一段时间的安全措施具有更高的优先级和进展评级。大多数安全措施得到了大型和小型医院的同等认可，这表明NQF识别安全医院措施的目标对于大多数安全措施来说可能是可以实现的。
