Prybil Lawrence D, Peterson Richard, Brezinski Paul, Zamba Gideon, Roach William, Fillmore Ammon
College of Public Health, General Hospital, 200 Hawkins Drive, The University of Iowa, Iowa City, IA 52242, USA.
Am J Med Qual. 2010 Jan-Feb;25(1):34-41. doi: 10.1177/1062860609352804.
In hospitals and health systems, ensuring that standards for the quality of patient care are established and continuous improvement processes are in place are among the board's most fundamental responsibilities. A recent survey has examined governance oversight of patient care quality at 123 nonprofit community health systems and compared their practices with current benchmarks of good governance. The findings show that 88% of the boards have established standing committees on patient quality and safety, nearly all chief executive officers' performance expectations now include targets related to patient quality and safety, and 96% of the boards regularly receive formal written reports regarding their organizations' performance in relation to quality measures and standards. However, there continue to be gaps between present reality and current benchmarks of good governance in several areas. These gaps are somewhat greater for independent systems than for those affiliated with a larger parent organization.
在医院和医疗系统中，确保建立患者护理质量标准并实施持续改进流程是董事会最基本的职责之一。最近一项调查研究了123家非营利性社区医疗系统对患者护理质量的治理监督情况，并将它们的做法与当前良好治理的基准进行了比较。调查结果显示，88%的董事会设立了患者质量与安全常务委员会，几乎所有首席执行官的绩效预期现在都包括与患者质量和安全相关的目标，96%的董事会定期收到关于其组织在质量指标和标准方面表现的正式书面报告。然而，在几个领域，当前现实与良好治理的当前基准之间仍然存在差距。独立系统的这些差距比那些隶属于大型母公司的系统要大一些。
