Pinney Stephen J, Page Alexandra E, Jevsevar David S, Bozic Kevin J
Department of Orthopaedic Surgery, St Mary's Medical Center, San Francisco, CA, USA,
Orthopaedic Surgery, AAOS Health Care Systems Committee, San Diego, CA, USA.
Orthop Res Rev. 2015 Dec 23;8:1-11. doi: 10.2147/ORR.S92216. eCollection 2016.
Multiple health care stakeholders are increasingly scrutinizing musculoskeletal care to optimize quality and cost efficiency. This has led to greater emphasis on quality and process improvement. There is a robust set of business strategies that are increasingly being applied to health care delivery. These quality and process improvement tools (QPITs) have specific applications to segments of, or the entire episode of, patient care. In the rapidly changing health care world, it will behoove all orthopedic surgeons to have an understanding of the manner in which care delivery processes can be evaluated and improved. Many of the commonly used QPITs, including checklist initiatives, standardized clinical care pathways, lean methodology, six sigma strategies, and total quality management, embrace basic principles of quality improvement. These principles include focusing on outcomes, optimizing communication among health care team members, increasing process standardization, and decreasing process variation. This review summarizes the common QPITs, including how and when they might be employed to improve care delivery.
多个医疗保健利益相关者越来越多地审视肌肉骨骼护理，以优化质量和成本效益。这导致更加注重质量和流程改进。有一套强大的商业策略正越来越多地应用于医疗保健服务。这些质量和流程改进工具（QPITs）在患者护理的各个环节或整个过程中都有特定的应用。在快速变化的医疗保健领域，所有骨科医生都应该了解如何评估和改进护理提供流程。许多常用的QPITs，包括检查表倡议、标准化临床护理路径、精益方法、六西格玛策略和全面质量管理，都包含质量改进的基本原则。这些原则包括关注结果、优化医疗团队成员之间的沟通、提高流程标准化以及减少流程变异。本综述总结了常见的QPITs，包括它们如何以及何时可用于改善护理提供。
