Siewert Bettina
Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA.
Curr Probl Diagn Radiol. 2018 May-Jun;47(3):131-135. doi: 10.1067/j.cpradiol.2017.05.002. Epub 2017 May 17.
The Joint Commission (TJC) evaluates the consistent provision of appropriate and safe access to health care, treatment, and services. Currently, TJC uses the tracer methodology to assess standards compliance and follows a number of patients through an organization's entire health care delivery process. The tracer methodology uses 3 different types of tracers as follows: individual or patient tracers, program-specific, and system tracers, to identify performance issues in one or more steps of the care process or at interfaces between them. This review article describes the different types of tracers used by TJC and provides examples of each tracer in radiology; it outlines how to achieve TJC ever-readiness with the use of mock tracers and provides practical suggestions on how to ensure staff engagement.
联合委员会（TJC）评估医疗保健、治疗和服务的适当且安全的持续可及性。目前，TJC采用追踪方法来评估标准合规情况，并在医疗机构的整个医疗服务提供过程中跟踪若干患者。追踪方法使用以下3种不同类型的追踪手段：个体或患者追踪、特定项目追踪以及系统追踪，以识别护理过程中一个或多个步骤或这些步骤之间接口处的绩效问题。这篇综述文章描述了TJC使用的不同类型的追踪手段，并给出了放射学领域每种追踪手段的示例；它概述了如何通过使用模拟追踪实现TJC随时准备就绪，并就如何确保员工参与提供了实用建议。
