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想要改进你的实践吗?考虑质量改进科学来起步吧。

Looking to Improve Your Practice? Consider the Science of Quality Improvement to Get Started.

机构信息

Athletic Training Programs, Department of Interdisciplinary Health Sciences, School of Osteopathic Medicine in Arizona, Research Support, A.T. Still University, Mesa.

出版信息

J Athl Train. 2020 Nov 1;55(11):1137-1141. doi: 10.4085/1062-6050-0342.19.

DOI:10.4085/1062-6050-0342.19
PMID:33057652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7709208/
Abstract

Quality improvement in health care is the responsibility of everyone (eg, patients, families, health providers, and administrative staff) to work toward delivering high-quality patient care, advancing professional knowledge and skills, and creating effective and efficient processes of care. Those involved in athletic health care, similar to other health care professionals, should strive to create patient care experiences that are safe, timely, effective, efficient, equitable, and patient centered. Exploring the differences between quality improvement and research will help define the focus of improvement sciences on the health of systems, which is to identify quality gaps and evaluate processes of care, as opposed to filling knowledge gaps. Furthermore, considering the principles of quality improvement will set the foundation for quality initiatives in health care to focus on patients, value teams, emphasize systems and processes of care, appreciate variability, and require data. With a greater understanding of the principles of the quality improvement sciences, athletic trainers will be better positioned to create a culture of quality improvement and to take the initiative in leading improvement efforts so that local systems support the delivery of high-quality patient care.

摘要

医疗质量改进是每个人(例如患者、家属、医疗服务提供者和行政人员)的责任,大家应共同努力提供高质量的患者护理,提升专业知识和技能,并创建高效、有效的护理流程。参与运动医疗保健的人员与其他医疗保健专业人员类似,应努力创造安全、及时、有效、高效、公平和以患者为中心的患者护理体验。探索质量改进和研究之间的差异将有助于确定改进科学的重点是关注系统的健康,即确定质量差距和评估护理流程,而不是填补知识差距。此外,考虑质量改进的原则将为医疗保健领域的质量计划奠定基础,重点关注患者、重视团队、强调护理系统和流程、重视变异性,并需要数据。通过更深入地了解质量改进科学的原则,运动训练师将能够更好地营造质量改进文化,并主动带头进行改进,从而使当地系统支持提供高质量的患者护理。

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本文引用的文献

1
How does clinical space utilisation impact patient flow?临床空间利用如何影响患者流程?
BMJ Open Qual. 2019 Jul 10;8(3):e000542. doi: 10.1136/bmjoq-2018-000542. eCollection 2019.
2
Shoulder Reduction Bench Project: improving care for patients with shoulder dislocations.肩部复位工作台项目:改善肩关节脱位患者的护理
BMJ Open Qual. 2019 Jun 14;8(2):e000366. doi: 10.1136/bmjoq-2018-000366. eCollection 2019.
3
Quality Improvement in Rehabilitation: A Primer for Physical Medicine and Rehabilitation Specialists.康复质量改进:物理医学与康复专家指南。
PM R. 2019 Jul;11(7):771-778. doi: 10.1002/pmrj.12130. Epub 2019 Apr 16.
4
Decreasing Radiograph Errors in Pediatric Sports Medicine Clinic.减少儿科运动医学诊所的X线片误差
Pediatr Qual Saf. 2018 Jul 13;3(4):e089. doi: 10.1097/pq9.0000000000000089. eCollection 2018 Jul-Aug.
5
Return to Drive Counseling After Sports-Related Concussion: A Quality Improvement Project.运动相关脑震荡后的重返赛场咨询:一项质量改进项目。
Pediatr Qual Saf. 2016 Nov 18;1(2):e006. doi: 10.1097/pq9.0000000000000006. eCollection 2016 Nov-Dec.
6
Quality Improvement in Athletic Health Care.运动医学保健的质量改进。
J Athl Train. 2017 Nov;52(11):1070-1078. doi: 10.4085/1062-6050-52.10.15. Epub 2017 Nov 10.
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Medical error-the third leading cause of death in the US.医疗差错——美国第三大死因。
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How to Begin a Quality Improvement Project.如何启动一个质量改进项目。
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9
Differentiating between research and quality improvement.区分研究与质量改进。
J Perinat Neonatal Nurs. 2015 Apr-Jun;29(2):100-2. doi: 10.1097/JPN.0000000000000107.
10
Building knowledge, asking questions.积累知识,提出问题。
BMJ Qual Saf. 2014 Apr;23(4):265-7. doi: 10.1136/bmjqs-2013-002703. Epub 2013 Dec 23.