AORN J. 2020 Apr;111(4):415-422. doi: 10.1002/aorn.12988.
Quality improvement processes and management approaches that provide a foundation for continuous quality improvement can lead to improved patient care. The Institute for Healthcare Improvement developed a high-performance management system (HPMS) for health care leaders and staff members to effect continuous quality control, and then conducted a pilot of the system in several ambulatory surgery centers (ASCs). The primary focus of the pilot program in the ASC setting was to understand the applicability of the theory of quality control using related practices (eg, standardized daily huddles, visual management boards) included in the modified HPMS. After implementing the new program, pilot site leaders observed an improvement of approximately 10 percentage points in their Agency for Healthcare Research and Quality patient safety culture survey scores. At the end of the pilot, the researchers concluded that ASC leaders can improve patient care and sustain improvement in their organizations using the HPMS practices.
质量改进流程和管理方法为持续质量改进提供了基础，可以改善患者护理。医疗改善研究所为医疗保健领导者和工作人员开发了一种高性能管理系统（HPMS），以实现持续的质量控制，然后在几个门诊手术中心（ASC）对该系统进行了试点。ASC 环境试点计划的主要重点是了解使用包括在修改后的 HPMS 中的相关实践（例如，标准化的日常碰头会、可视化管理板）的质量控制理论的适用性。在实施新计划后，试点现场的领导观察到他们的医疗机构质量研究和安全文化调查评分大约提高了 10 个百分点。在试点结束时，研究人员得出结论，ASC 领导者可以使用 HPMS 实践来改善患者护理并维持其组织的改进。
