Ovretveit John
Department Leaning Informatics Management and Education (LIME/MMC), 17a Tomtebodavägen 18A. Karolinska Institutet, Stockholm 17177, Sweden.
Int J Qual Health Care. 2018 Apr 20;30(suppl_1):37-41. doi: 10.1093/intqhc/mzy015.
This perspectives' paper highlights some of the learning from the seminar that the author considers to have particular relevance for improvement practitioners and for investigators seeking to maximize the usefulness of their investigations. The paper discusses the learning under four themes and also notes the future learning needed to enable faster and lower-cost improvement and innovative methods for this learning. The four themes are: describing and reporting improvement interventions; the theme of increasing our certainty about attributing effects to implemented improvement changes; the theme of generalizing the learning from one investigation or improvement and the theme of learning for sustainment and scale-up. The paper suggests ways to build on what we learned at the seminar to create and enable faster take up of proven improvements by practitioners and healthcare services so as to benefit more patients more quickly in a variety of settings.
这篇观点论文重点介绍了作者认为对改进工作的从业者以及寻求最大限度提高调查实用性的研究人员具有特别相关性的研讨会上的一些经验教训。本文围绕四个主题讨论了这些经验教训，并指出了实现更快、低成本改进所需的未来学习内容以及实现这种学习的创新方法。这四个主题分别是：描述和报告改进干预措施；提高我们对已实施的改进变化所产生效果归因的确定性这一主题；将一次调查或改进中的经验教训进行推广的主题；以及为维持和扩大规模而学习的主题。本文提出了一些方法，以基于我们在研讨会上所学的内容，促使从业者和医疗服务机构更快地采用并实现已证实的改进措施，从而在各种环境中更快地使更多患者受益。
