FNP/PA Programs, Department of Family and Community Medicine, School of Medicine, University of CA, Davis, USA; Betty Irene Moore School of Nursing, University of CA, Davis, USA.
Geriatr Nurs. 2013 Sep-Oct;34(5):402-11. doi: 10.1016/j.gerinurse.2013.06.011. Epub 2013 Jul 17.
Looking forward to the Quality Assurance Performance Improvement (QAPI) program to be implemented and required in 2014, and as nursing home staff provide care for residents with increasingly complex health issues, knowledge of how to implement quality improvement (QI) is imperative. The nursing home administrator and director of nursing (DON) provide overall leadership, but it is the primary responsibility of the DON and other registered nurse staff to implement and manage the day to day QI process. This article describes potential roles of nursing leaders and key components of a QI project using a pressure ulcer case study exemplar to illustrate a quality improvement process. The authors suggest specific methods that RN leaders can employ using the Advancing Excellence Campaign Circle of Success as an organizing framework along with evidence-based resources. Nursing home leaders could use this article as a guideline for implementing any clinical quality improvement process.
期待 2014 年实施并要求的质量保证绩效改进 (QAPI) 计划，随着养老院工作人员为患有日益复杂健康问题的居民提供护理，了解如何实施质量改进 (QI) 是必要的。养老院管理员和注册护士主任 (DON) 提供全面领导，但 DON 和其他注册护士工作人员的主要责任是实施和管理日常 QI 流程。本文使用压疮案例研究范例描述了护理领导者的潜在角色和 QI 项目的关键组成部分，以说明质量改进过程。作者建议 RN 领导者可以使用卓越推进运动成功循环作为组织框架，并结合基于证据的资源来采用的具体方法。养老院领导者可以将本文作为实施任何临床质量改进过程的指南。
