Knight Jenny A
Yeovil District Hospital NHS Foundation Trust, Somerset.
Br J Nurs. 2007;16(18):1122-6. doi: 10.12968/bjon.2007.16.18.27505.
'Creating a Patient-Led NHS' (Department of Health, 2005b) advises us to develop services with the patient at the centre of all that we do. In today's current agenda for reform and improvement, with the additional pressure on organizations to achieve Government performance targets where there is increasing demand and limited resources, it is sometimes difficult to provide the optimum patient experience. This article describes how a district general hospital used continuous quality improvement methodology to improve quality of care when developing a one-stop diagnostic clinic for patients urgently referred with suspected gynaecological cancer. As well as increasing clinic capacity and meeting access targets, redesigning the patient care pathway to improve services also provides the opportunity to build in patient choice and convenience. The article also discusses how clinical teams can involve patients when planning and evaluating services, and explores user involvement as a core component of continuous quality improvement methodology.
《创建由患者主导的国民保健服务体系》（卫生部，2005b）建议我们在开展所有工作时，以患者为中心来发展服务。在当今改革与改进的议程中，各机构面临着额外压力，要在需求不断增加而资源有限的情况下实现政府绩效目标，有时很难提供最佳的患者体验。本文描述了一家地区综合医院如何在为疑似妇科癌症的紧急转诊患者开设一站式诊断诊所时，运用持续质量改进方法来提高护理质量。除了增加诊所容量和达到就诊目标外，重新设计患者护理流程以改善服务，也为纳入患者选择和便利创造了机会。本文还讨论了临床团队在规划和评估服务时如何让患者参与其中，并探讨了用户参与作为持续质量改进方法的核心组成部分。
