Calder K
AARN News Lett. 1991 May;47(5):10-2.
The use of programs to help administrators and staff of health care facilities assess and monitor the quality of services provided is not new. For years, quality assurance (QA) programs have provided generalized sets of standards against which hospitals and other agencies measure their performance. Recently, there has been a trend towards quality improvement (QI) programs which advocate a more proactive response to quality concerns and emphasize a decentralized use of assessment and evaluation findings to continuously improve the care provided. QI is recognized as holding great opportunities for the enhancement of professional nursing practice and the improvement of patient care. In this paper, the process and design of QI was described and the advantages of this approach were recognized.
使用程序来帮助医疗保健机构的管理人员和工作人员评估和监测所提供服务的质量并非新鲜事。多年来，质量保证（QA）计划提供了一套通用标准，医院和其他机构据此衡量自身绩效。最近，出现了一种向质量改进（QI）计划发展的趋势，该计划倡导对质量问题做出更积极主动的回应，并强调分散使用评估和评价结果以持续改进所提供的护理。质量改进被认为为加强专业护理实践和改善患者护理提供了巨大机遇。本文描述了质量改进的过程和设计，并认识到这种方法的优点。
