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介入放射学中的实践质量改进项目探讨

Approaching the Practice Quality Improvement Project in Interventional Radiology.

作者信息

Reis Stephen P, White Benjamin, Sutphin Patrick D, Pillai Anil K, Kalva Sanjeeva P, Toomay Seth M

机构信息

Division of Interventional Radiology, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.

Division of Interventional Radiology, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.

出版信息

J Am Coll Radiol. 2015 Dec;12(12 Pt A):1337-44. doi: 10.1016/j.jacr.2015.05.019. Epub 2015 Sep 1.

Abstract

An important component of maintenance of certification and quality improvement in radiology is the practice quality improvement (PQI) project. In this article, the authors describe several methodologies for initiating and completing PQI projects. Furthermore, the authors illustrate several tools that are vital in compiling, analyzing, and presenting data in an easily understandable and reproducible manner. Last, they describe two PQI projects performed in an interventional radiology division that have successfully improved the quality of care for patients. Using the DMAIC (define, measure, analyze, improve, control) quality improvement framework, interventional radiology throughput has been increased, to lessen mediport wait times from 43 to 8 days, and mediport infection rates have decreased from more than 2% to less than 0.4%.

摘要

放射学领域认证维护和质量改进的一个重要组成部分是实践质量改进(PQI)项目。在本文中,作者描述了启动和完成PQI项目的几种方法。此外,作者还阐述了几种对于以易于理解和可重复的方式汇编、分析和呈现数据至关重要的工具。最后,他们介绍了在一个介入放射科开展的两个PQI项目,这两个项目成功提高了患者护理质量。采用DMAIC(定义、测量、分析、改进、控制)质量改进框架后,介入放射科的工作效率得到了提高,使输液港等待时间从43天缩短至8天,输液港感染率从2%以上降至0.4%以下。

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