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发展和识别从事质量改进和患者安全工作的教师的策略。

Strategies for Developing and Recognizing Faculty Working in Quality Improvement and Patient Safety.

机构信息

D.L. Coleman is professor and chair, Department of Medicine, Boston University School of Medicine, and Boston Medical Center, Boston, Massachusetts. R.M. Wardrop III is associate professor, Departments of Medicine and Pediatrics, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina. W.S. Levinson is professor, Department of Medicine, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada. M.L. Zeidel is professor and chair, Department of Medicine, Beth Israel Deaconess Medical Center, and Harvard Medical School, Boston, Massachusetts. P.E. Parsons is professor and chair, Department of Medicine, University of Vermont College of Medicine, Burlington, Vermont.

出版信息

Acad Med. 2017 Jan;92(1):52-57. doi: 10.1097/ACM.0000000000001230.

Abstract

Academic clinical departments have the opportunity and responsibility to improve the quality and value of care and patient safety by supporting effective quality improvement activities. The pressure to provide high-value care while further developing academic programs has increased the complexity of decision making and change management in academic health systems. Overcoming these challenges will require faculty engagement and leadership; however, most academic departments do not have a sufficient number of individuals with expertise and experience in quality improvement and patient safety (QI/PS). Accordingly, the authors of this article advocate for a targeted and proactive approach to developing faculty working in QI/PS. They propose a strategy predicated on the identification of QI/PS as a strategic priority for academic departments, the creation of enabling resources in QI/PS, and the expansion of rigorous training programs in change management and in improvement and implementation sciences. Professional organizations, health systems, medical schools, and academic departments should recognize successful QI/PS work with awards and promotions. Individual faculty members should expand their collaborative networks, consider the generalizability and scholarly impact of their efforts when designing QI/PS initiatives, and benchmark the outcomes of their performance. Appointments and promotions committees should work proactively with department and QI/PS leaders to ensure that outstanding achievement in QI/PS is defined and recognized. As with the development of physician-investigators and clinician-educators, departments and health systems need a comprehensive approach to support and recognize the contributions of faculty working in QI/PS to meet the considerable needs and opportunities in health care.

摘要

学术临床科室有机会和责任通过支持有效的质量改进活动来提高医疗质量和价值并保障患者安全。在进一步发展学术项目的同时提供高价值医疗服务的压力增加了学术卫生系统决策和变革管理的复杂性。克服这些挑战需要教职员工的参与和领导力;然而,大多数学术部门没有足够数量的具有质量改进和患者安全 (QI/PS) 专业知识和经验的个人。因此,本文的作者主张采取有针对性和积极主动的方法来培养从事 QI/PS 工作的教职员工。他们提出了一种策略,将 QI/PS 确定为学术部门的战略重点,创建 QI/PS 方面的有利资源,并扩大变革管理以及改进和实施科学方面的严格培训计划。专业组织、卫生系统、医学院校和学术部门应通过奖励和晋升来认可成功的 QI/PS 工作。个别教师应扩大其合作网络,在设计 QI/PS 计划时考虑其工作的可推广性和学术影响力,并对其绩效的结果进行基准测试。任命和晋升委员会应与部门和 QI/PS 领导积极合作,确保明确和认可 QI/PS 方面的卓越成就。就像培养医师研究者和临床教育家一样,部门和卫生系统需要采取全面的方法来支持和认可从事 QI/PS 工作的教职员工的贡献,以满足医疗保健领域的巨大需求和机会。

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