California Maternal Quality Care Collaborative, Stanford University School of Medicine, Stanford Medical School Office Building, 1265 Welch Road, MS 5415, Stanford, CA 94305, USA; Division of Neonatal Medicine, Stanford University School of Medicine, Stanford, CA, USA.
California Maternal Quality Care Collaborative, Stanford University School of Medicine, Stanford Medical School Office Building, 1265 Welch Road, MS 5415, Stanford, CA 94305, USA; Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA, USA.
Obstet Gynecol Clin North Am. 2019 Jun;46(2):317-328. doi: 10.1016/j.ogc.2019.01.014.
Creating change at scale within a short time frame poses multiple challenges. Using the experience of the California Maternal Quality Care Collaborative, the authors illustrate how state perinatal quality collaboratives have been able to achieve this goal using a series of key steps: engage as many disciplines and partner organizations as possible; mobilize low-burden data to create a rapid-cycle data center to support the quality improvement efforts; provide up-to-date guidance for implementation using safety bundles and tool kits; and make available coaching and peer learning to support implementation through multihospital quality collaboratives. There are now multiple national resources available to support these efforts.
在短时间内大规模地推动变革会带来诸多挑战。作者通过加利福尼亚州围产期护理质量协作组织的经验说明，州级围产期质量协作组织如何通过一系列关键步骤实现这一目标：尽可能吸纳更多的学科和合作组织；利用低负担数据建立快速循环数据中心，为质量改进工作提供支持；利用安全捆绑包和工具包为实施提供最新指导；通过多医院质量协作组织提供辅导和同行学习支持实施。现在有许多国家资源可用于支持这些努力。
