Morganti Kristy Gonzalez, Lovejoy Susan, Beckjord Ellen Burke, Haviland Amelia M, Haas Ann C, Farley Donna O
1RAND Corporation, Pittsburgh, PA.
Am J Med Qual. 2014 Jan-Feb;29(1):30-8. doi: 10.1177/1062860613483354. Epub 2013 Apr 9.
This study evaluated how the Perfecting Patient Care (PPC) University, a quality improvement (QI) training program for health care leaders and clinicians, affected the ability of organizations to improve the health care they provide. This training program teaches improvement methods based on Lean concepts and principles of the Toyota Production System and is offered in several formats. A retrospective evaluation was performed that gathered data on training, other process factors, and outcomes after staff completed the PPC training. A majority of respondents reported gaining QI competencies and cultural achievements from the training. Organizations had high average scores for the success measures of "outcomes improved" and "sustainable monitoring" but lower scores for diffusion of QI efforts. Total training dosage was significantly associated with the measures of QI success. This evaluation provides evidence that organizations gained the PPC competencies and cultural achievements and that training dosage is a driver of QI success.
本研究评估了“完善患者护理”(PPC)大学,这一面向医疗保健领导者和临床医生的质量改进(QI)培训项目,如何影响各组织改善其所提供医疗保健服务的能力。该培训项目传授基于精益理念和丰田生产系统原则的改进方法,并以多种形式提供。研究进行了一项回顾性评估,收集了员工完成PPC培训后的培训、其他过程因素及结果的数据。大多数受访者表示从培训中获得了QI能力和文化成果。各组织在“结果改善”和“可持续监测”等成功指标上的平均得分较高,但在QI工作的推广方面得分较低。总培训剂量与QI成功指标显著相关。该评估提供了证据,表明各组织获得了PPC能力和文化成果,且培训剂量是QI成功的一个驱动因素。