Haydar Ziad, Gunderson Julie, Ballard David J, Skoufalos Alexis, Berman Bettina, Nash David B
Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas, USA.
Am J Med Qual. 2008 Jul-Aug;23(4):252-8. doi: 10.1177/1062860608319814.
Industrial quality improvement (QI) methods such as continuous quality improvement (CQI) may help bridge the gap between evidence-based "best care" and the quality of care provided. In 2006, Baylor Health Care System collaborated with Jefferson Medical College of Thomas Jefferson University to conduct a QI demonstration project in select Pennsylvania hospitals using CQI techniques developed by Baylor. The training was provided over a 6-month period and focused on methods for rapid-cycle improvement; data system design; data management; tools to improve patient outcomes, processes of care, and cost-effectiveness; use of clinical guidelines and protocols; leadership skills; and customer service skills. Participants successfully implemented a variety of QI projects. QI education programs developed and pioneered within large health care systems can be adapted and applied successfully to other settings, providing needed tools to smaller rural and community hospitals that lack the necessary resources to establish such programs independently.
诸如持续质量改进（CQI）等工业质量改进（QI）方法可能有助于弥合循证“最佳护理”与所提供护理质量之间的差距。2006年，贝勒医疗保健系统与托马斯·杰斐逊大学的杰斐逊医学院合作，在宾夕法尼亚州的部分医院开展了一个使用贝勒开发的CQI技术的QI示范项目。培训为期6个月，重点是快速循环改进方法；数据系统设计；数据管理；改善患者结局、护理流程和成本效益的工具；临床指南和协议的使用；领导技能；以及客户服务技能。参与者成功实施了各种QI项目。在大型医疗保健系统中开发和首创的QI教育项目可以成功地改编并应用于其他环境，为缺乏独立建立此类项目所需资源的小型农村和社区医院提供所需工具。
