Vincent Charles
Director, Oxford Healthcare Improvement, Oxford Health NHS Foundation Trust, UK. Email:
BJPsych Int. 2020 Nov;17(4):75-76. doi: 10.1192/bji.2020.27.
Improving the delivery of existing treatment may often bring much greater benefits than developing new treatments and technologies. To achieve this, clinical teams and organisations need to build capacity for sustained and systematic improvement. Organisations can build improvement capacity and skills by developing permanent multidisciplinary centres to provide sustained inspiration, research, training and practical support for implementation and innovation. In the longer term, organisations need to build an infrastructure for quality improvement that includes an information system to track change and dedicated improvement leads across the organisation.
改善现有治疗方法的应用往往比开发新的治疗方法和技术能带来更大的益处。要实现这一点,临床团队和机构需要培养持续且系统改进的能力。机构可以通过建立永久性的多学科中心来培养改进能力和技能,以提供持续的激励、研究、培训以及对实施和创新的实际支持。从长远来看,机构需要构建一个质量改进的基础设施,其中包括一个用于跟踪变化的信息系统以及在整个机构内专门负责改进工作的人员。