Sakowski Julie Ann, Hooper Lynda, Holton Thomas, Brody Abraham A
University of California, San Francisco, San Francisco, California, USA.
Creat Nurs. 2012;18(4):177-86. doi: 10.1891/1078-4535.18.4.177.
Engaging bedside clinicians, especially nurses, is essential for the success of sustainable process improvement programs and thus for improving the quality of health care. Studies have shown that properly implemented professional councils can be effective in engaging and empowering bedside clinicians to create lasting and meaningful improvements. This case study describes a 5-year program to implement and operate staff-led councils to lead evidence-based practice (EBP) quality improvement initiatives at 6 community hospitals. The outcomes presented in this case study demonstrate that staff-led councils have the potential to improve patient safety and quality of care as evidenced by observed reductions in ventilator-associated pneumonias, central line-associated bloodstream infections, and mortality from acute myocardial infarction and severe sepsis.
让床边临床医生，尤其是护士参与进来，对于可持续流程改进项目的成功以及改善医疗质量至关重要。研究表明，妥善实施的专业委员会能够有效地让床边临床医生参与其中并赋予他们权力，从而实现持久且有意义的改进。本案例研究描述了一个为期5年的项目，该项目在6家社区医院实施并运营由员工主导的委员会，以引领基于循证实践（EBP）的质量改进举措。本案例研究中呈现的结果表明，由员工主导的委员会有潜力改善患者安全和护理质量，这一点从观察到的呼吸机相关性肺炎、中心静脉导管相关血流感染以及急性心肌梗死和严重脓毒症死亡率的降低得到了证明。
