Murki Srinivas, Kiran Sai, Kumar Praveen, Chawla Deepak, Thukral Anu
Department of Neonatology, Fernandez Hospital, Hyderabad, India. Correspondence to: Dr Srinivas Murki, Chief Neonatology, Fernandez Hospital, Hyderguda, Hyderabad 500 035, India.
Department of Neonatology, Fernandez Hospital, Hyderabad, India.
Indian Pediatr. 2018 Sep 15;55(9):818-823.
Across all healthcare settings, it is important not only to provide safe and effective healthcare, but also to ensure that it is timely, patient-centered, efficient and equitable. There is a wide variability in neonatal and perinatal outcomes in India and other developing countries, with certain units demonstrating clinical outcomes that match the developed world, while others showing higher than expected mortality and morbidity. Collaborative quality improvement initiatives offer a pragmatic way to improve performance of healthcare delivery within and between neonatal units. Variations in application of evidence-based healthcare process and dependent health outcomes can be identified and targeted for improvement in quality improvement cycles. We herein describe the concept of Collaborative quality improvement, and the success stories of the best-known Collaborative quality improvement initiatives across the world. We also highlight the process and progress of creating Collaborative quality improvement in our country.
在所有医疗环境中，不仅提供安全有效的医疗服务很重要，而且要确保其及时、以患者为中心、高效且公平。印度和其他发展中国家的新生儿和围产期结局差异很大，某些单位的临床结局与发达国家相当，而其他单位的死亡率和发病率则高于预期。协作式质量改进举措提供了一种切实可行的方法，可改善新生儿单位内部及之间的医疗服务绩效。在质量改进周期中，可以识别基于证据的医疗流程应用及相关健康结局的差异，并将其作为改进目标。我们在此描述协作式质量改进的概念，以及全球最著名的协作式质量改进举措取得的成功案例。我们还强调了在我国开展协作式质量改进的过程和进展。
