Eiser Arnold R, McNamee William B, Miller Jean Yodis
Mercy Health System SEPA, Conshohocken, PA 19023, USA.
Am J Med Qual. 2013 May-Jun;28(3):238-42. doi: 10.1177/1062860612458825. Epub 2012 Sep 13.
The integration of the Mercy Health System's quality improvement (QI) and continuing medical educational (CME) activities is described. With the implementation of computerized medical data, the opportunities for QI-focused CME are growing. The authors reviewed their regularly scheduled series and special CME programs to assess their impact on quality care processes. Clinical improvements were affected by combining national guidelines and advancements with local clinical data and interactions with physicians within interdisciplinary as well as specialty conferences. Case-based, multidisciplinary conferences lent themselves to this process to a greater extent than didactic conferences. The latter also could lead to QI when the topics were focused on specific quality initiatives that often are part of a national QI initiative. Although the authors consider these efforts to be at an intermediate stage of development, they have observed several QI/patient safety process improvements.
描述了梅西医疗系统质量改进（QI）和继续医学教育（CME）活动的整合情况。随着计算机化医疗数据的实施，以QI为重点的CME机会不断增加。作者回顾了他们定期举办的系列活动和特别CME项目，以评估其对优质护理流程的影响。通过将国家指南和进展与当地临床数据以及跨学科和专业会议中与医生的互动相结合，临床得到了改善。基于案例的多学科会议比说教式会议更适合这一过程。当主题聚焦于特定的质量改进举措（这些举措通常是国家QI计划的一部分）时，后者也可以带来QI。尽管作者认为这些努力尚处于发展的中间阶段，但他们已经观察到了一些QI/患者安全流程的改进。
