Department of Medicine, University of California, San Francisco, USA.
Acad Med. 2012 Feb;87(2):168-71. doi: 10.1097/ACM.0b013e31823f3c2c.
The fields of quality improvement and patient safety (QI/PS) continue to grow with greater attention and awareness, increased mandates and incentives, and more research. Academic medical centers and their academic departments have a long-standing tradition for innovation and scholarship within a multifaceted mission to provide patient care, educate the next generation, and conduct research. Academic departments are well positioned to lead the science, education, and application of QI/PS efforts nationally. However, meaningful engagement of faculty and trainees to lead this work is a major barrier. Understanding and developing programs that foster QI/PS work while also promoting a scholarly focus can generate the incentives and acknowledgment to help elevate QI/PS into the academic mission. Academic departments should define and articulate a QI/PS strategy, develop individual and departmental capacity to lead scholarly QI/PS programs, streamline and support access to data, share information and improve collaboration, and recognize and elevate academic success in QI/PS. A commitment to these goals can also serve to cultivate important collaborations between academic departments and their respective medical centers, divisions, and training programs. Ultimately, the elevation of QI/PS into the academic mission can improve the quality and safety of our health care delivery systems.
质量改进和患者安全（QI/PS）领域持续发展，关注度和意识不断提高，强制性要求和激励措施不断增加，研究也越来越多。学术医疗中心及其学术部门在提供患者护理、教育下一代和进行研究的多方面任务中，一直以来都有创新和学术的传统。学术部门具备领导全国范围内 QI/PS 工作的科学、教育和应用的优势。然而，让教师和学员有意义地参与领导这项工作是一个主要障碍。理解和制定促进 QI/PS 工作的计划，同时促进学术重点，可以产生激励措施和认可，有助于将 QI/PS 纳入学术使命。学术部门应制定并阐明 QI/PS 战略，发展个人和部门领导学术性 QI/PS 计划的能力，简化和支持数据访问，共享信息并改善协作，并认可和提升 QI/PS 方面的学术成就。对这些目标的承诺还可以培养学术部门与其所属医疗中心、部门和培训计划之间的重要合作关系。最终，将 QI/PS 纳入学术使命可以提高我们医疗保健系统的质量和安全性。
