Walsh Kathleen E, Ettinger Walter H, Klugman Robert A
Department of Pediatrics, University of Massachusetts School, Worcester, Massachusetts, USA.
Am J Med Qual. 2009 Jul-Aug;24(4):295-301. doi: 10.1177/1062860609336219. Epub 2009 Jun 1.
The slow progress in health care quality improvement and patient safety in America can be attributed, in part, to the challenge of physician engagement. As multidisciplinary patient-centered care becomes the standard, it is essential to integrate physicians into this process. To this end, the UMass Memorial Medical Center redesigned its Physician Quality Officer (PQO) program in 2007. The PQOs of the UMass Memorial Medical Center, who are all practicing clinicians, are fully compensated for their time and effort, trained in safety science, and teamed with other members of the department of quality and patient safety. Over the first year of the new program, the PQOs have successfully led major hospital initiatives in areas such as surgical care improvement, critical values reporting, and medication reconciliation. In this article, the authors describe the challenges and insights in the development and implementation of this new program.
美国在医疗保健质量提升和患者安全方面进展缓慢，部分原因可归咎于医生参与度方面的挑战。随着以患者为中心的多学科护理成为标准，将医生纳入这一过程至关重要。为此，马萨诸塞大学纪念医疗中心于2007年重新设计了其医师质量官（PQO）项目。马萨诸塞大学纪念医疗中心的医师质量官均为执业临床医生，他们的时间和精力得到充分补偿，接受了安全科学方面的培训，并与质量和患者安全部门的其他成员合作。在新项目的第一年，医师质量官成功领导了医院在外科护理改进、危急值报告和用药核对等领域的重大举措。在本文中，作者描述了这一新项目开发和实施过程中的挑战与见解。
