Kumar Bhanumathy
Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, 3901 Beaubien Street, Detroit, MI 48201, USA.
Pediatr Clin North Am. 2016 Apr;63(2):283-91. doi: 10.1016/j.pcl.2015.11.002.
Quality-based regulations, performance-based payouts, and open reporting have contributed to a growing focus on quality and safety metrics in health care. Medical errors are a well-known catastrophe in the field. Especially disturbing are estimates of pediatric safety issues, which hold a stronger capacity to cause serious issues than those found in adults. This article presents information collected in the past 2 decades pertaining to the issue of quality, and describes a preliminary list of potential solutions and methods of implementation. The beginning stages of a reconstructive journey of safety and quality in a Michigan pediatric hospital is introduced and discussed.
基于质量的监管、基于绩效的薪酬支付以及公开报告,使得医疗保健领域对质量和安全指标的关注日益增加。医疗差错是该领域众所周知的重大问题。尤其令人不安的是对儿科安全问题的估计,其引发严重问题的可能性比成人问题更大。本文介绍了过去20年中收集的有关质量问题的信息,并描述了一份潜在解决方案及实施方法的初步清单。文中还介绍并讨论了密歇根一家儿科医院在安全和质量重建之旅的初始阶段情况。