Popken G
Urologische Klinik, Klinikum Ernst von Bergmann, Charlottenstraße 72, 14467, Potsdam, Deutschland.
Urologe A. 2019 Oct;58(10):1150-1155. doi: 10.1007/s00120-019-1021-3.
The quality of medical care is on a high level in hospitals, yet variations in quality as well as room for improvement can often be identified. This potential can be made visible by active error management. The Initiative Qualitätsmedizin (IQM) carries out a quality measurement based on routine data. Furthermore, it commits to the transparency of the results by publication. Other means for quality improvement include peer review.
Peer reviews serve to clarify statistical abnormalities with the applied quality indicators without using reprisals. Reviews take place following accepted analysis criteria and are subject to explicit rules concerning the process. The peer teams are comprised of members from several providers. Each review is ended with a summarized record including a proposed solution as well as a time frame. It is essential that all participants are satisfied after finishing the peer review. The subsequent implementation is the responsibility of the head of medicine.
It is a challenge, especially in the field of medicine, to change long-standing learned and practised processes. To bring one's daily actions to the attention by others publicly might yet be another and even bigger challenge. The willingness to undergo such a process and to accept the resulting criticism is being experienced and accepted very differently.
医院的医疗质量处于较高水平，但质量差异以及改进空间往往是可以识别的。通过积极的差错管理可以使这种潜力显现出来。质量医学倡议（IQM）基于常规数据进行质量测量。此外，它还通过发布结果来保证透明度。其他质量改进方法包括同行评审。
同行评审用于在不进行报复的情况下澄清所应用质量指标的统计异常情况。评审按照公认的分析标准进行，并遵循有关该过程的明确规则。同行团队由来自多个提供者的成员组成。每次评审结束时都会有一份总结记录，其中包括建议的解决方案以及时间框架。至关重要的是，在完成同行评审后所有参与者都要感到满意。后续的实施由医学负责人负责。
改变长期以来习得和实践的流程是一项挑战，尤其是在医学领域。让自己的日常行为受到他人公开关注可能是另一项甚至更大的挑战。人们对经历这样一个过程并接受由此产生的批评的意愿感受和接受程度差异很大。
