Coldiron J S, Wieler D
Carney Hospital, Boston, MA 02124.
Qual Assur Util Rev. 1991 Summer;6(2):64-6. doi: 10.1177/0885713x9100600207.
This article presents a method that is helpful in achieving compliance with the JCAHO medical staff monitoring standards. Since the QA activity of the medical staff is of great importance to the institution, it is imperative that monitoring activities are clearly documented and easily evaluated. Through the use of a standardized departmental minutes format, each clinical department is prompted to address the monthly activity relating to each of the basic quality assurance functions. These minutes can be "scored" using an evaluation tool suitable for review by the Medical Executive Committee. This enables the committee to track the status of each department's use of the "Ten Step Process." This method has successfully met the challenge of a recent JCAHO accreditation visit. The use of the standardized departmental minutes format and the evaluation tool provide a method to successfully meet the JCAHO medical staff quality assurance standards.
本文介绍了一种有助于符合联合委员会（JCAHO）医务人员监测标准的方法。由于医务人员的质量保证活动对机构至关重要，因此监测活动必须有清晰记录且易于评估。通过使用标准化的科室会议记录格式，促使每个临床科室阐述与每项基本质量保证职能相关的月度活动。这些会议记录可以使用适合医疗执行委员会审查的评估工具进行“评分”。这使委员会能够跟踪每个科室对“十步流程”的使用情况。这种方法成功应对了联合委员会最近一次认证访问的挑战。标准化科室会议记录格式和评估工具的使用提供了一种成功符合联合委员会医务人员质量保证标准的方法。
