Price David W, Lang David M
American Board of Medical Specialties Research and Education Foundation, Chicago, Ill; American Board of Medical Specialties Multispecialty Portfolio Approval Program, Chicago, Ill; Department of Family Medicine, University of Colorado School of Medicine, Denver, Colo.
Department of Allergy and Clinical Immunology, Respiratory Institute, Cleveland Clinic, Cleveland, Ohio.
J Allergy Clin Immunol Pract. 2017 May-Jun;5(3):660-664. doi: 10.1016/j.jaip.2016.12.015. Epub 2017 Jan 20.
Quality improvement (QI) has long been part of organized medicine, but has become increasingly more important in the last few years. Clinical expertise and input into QI activities are critical to keep QI grounded in evidence and practice. Busy clinicians face many competing demands; practical strategies are needed to help busy clinicians successfully engage in QI. This article provides a brief history of QI in medicine, notes several commonly used frameworks for QI in health care, and presents a practical QI model that can be applied to the clinical practice of allergy and immunology.
质量改进(QI)长期以来一直是组织化医学的一部分,但在过去几年中变得越来越重要。临床专业知识以及对质量改进活动的投入对于确保质量改进基于证据和实践至关重要。忙碌的临床医生面临许多相互竞争的需求;需要切实可行的策略来帮助忙碌的临床医生成功参与质量改进。本文简要介绍了医学领域质量改进的历史,指出了医疗保健中几种常用的质量改进框架,并提出了一种可应用于过敏和免疫学临床实践的实用质量改进模型。