Durbin Charles G
Department of Anesthesiology, University of Virginia Health Science Center, PO Box 800710, Charlottesville, VA 22908-0170, USA.
Respir Care. 2007 Mar;52(3):324-36.
Though advances in medical science have created improved therapies, often these are not widely provided throughout the health-care system. Also, there is growing recognition of the lack of safety in health-care delivery. The development of evidence-based, best practice, national guidelines has been encouraged to reduce unnecessary variation in care and for improving quality. Adoption of guidelines through local protocols has been disappointingly slow. This paper explores the parallel developments in safety and quality-of-care assessment, evidence-based medicine, guideline creation, and how development of national and international quality-improvement campaigns are promoting rapid change in care delivery processes. I discuss how this new opportunity can improve the quality of respiratory care and enhance the adoption of respiratory care protocols.
尽管医学科学的进步带来了改进的治疗方法，但这些方法往往并未在整个医疗保健系统中广泛应用。此外，人们越来越认识到医疗保健服务中存在安全问题。为了减少不必要的护理差异并提高质量，人们鼓励制定基于证据的最佳实践国家指南。然而，通过地方协议采用指南的速度却令人失望地缓慢。本文探讨了安全与护理质量评估、循证医学、指南制定方面的平行发展，以及国家和国际质量改进运动的发展如何推动护理提供过程的快速变革。我将讨论这个新机遇如何能够提高呼吸护理的质量，并促进呼吸护理协议的采用。
