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重症监护中的质量保证与质量管理

[Quality assurance and quality management in intensive care].

作者信息

Notz K, Dubb R, Kaltwasser A, Hermes C, Pfeffer S

机构信息

Akademie der Kreiskliniken Reutlingen, Kreiskliniken Reutlingen GmbH, Steinenbergstr. 31, 72710, Reutlingen, Deutschland.

HELIOS Klinikum Siegburg GmbH, Siegburg, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2015 Nov;110(8):584-8. doi: 10.1007/s00063-015-0097-9. Epub 2015 Oct 15.

Abstract

Treatment success in hospitals, particularly in intensive care units, is directly tied to quality of structure, process, and outcomes. Technological and medical advancements lead to ever more complex treatment situations with highly specialized tasks in intensive care nursing. Quality criteria that can be used to describe and correctly measure those highly complex multiprofessional situations have only been recently developed and put into practice.In this article, it will be shown how quality in multiprofessional teams can be definded and assessed in daily clinical practice. Core aspects are the choice of a nursing theory, quality assurance measures, and quality management. One possible option of quality assurance is the use of standard operating procedures (SOPs). Quality can ultimately only be achieved if professional groups think beyond their boundaries, minimize errors, and establish and live out instructions and SOPs.

摘要

医院的治疗成功,尤其是在重症监护病房,直接与结构、过程和结果的质量相关。技术和医学的进步导致治疗情况日益复杂,重症护理中出现了高度专业化的任务。用于描述和正确衡量这些高度复杂的多专业情况的质量标准直到最近才得以制定并付诸实践。在本文中,将展示如何在日常临床实践中定义和评估多专业团队的质量。核心方面包括护理理论的选择、质量保证措施和质量管理。质量保证的一种可能选择是使用标准操作程序(SOP)。只有当专业团队超越自身界限思考、尽量减少错误并制定和践行指导方针及标准操作程序时,最终才能实现质量目标。

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