Kimberly Whiteman is an associate professor of nursing at Waynesburg University, Waynesburg, Pennsylvania.
Jason Yaglowski is a Lean quality coach at Allegheny General Hospital, Pittsburgh, Pennsylvania.
Crit Care Nurse. 2021 Apr 1;41(2):e1-e9. doi: 10.4037/ccn2021914.
This article explores the use of 4 quality improvement tools and 2 evidence-based practice tools that, when used within the nursing process, encourage critical thinking about quality issues.
Patients and families expect to receive patient-centered, high-quality, and cost-effective care. Caring for critically ill patients is challenging and requires nurses to engage in quality improvement efforts to ensure that they provide evidence-based care.
To explore the use of critical thinking tools and evidence-based practice tools in assessing and diagnosing quality issues in the clinical setting.
The nursing process serves as the framework for problem solving. Some commonly used critical thinking tools for assessing and diagnosing quality issues are described, including the Spaghetti Diagram, the 5 Whys, the Cause and Effect Diagram, and the Pareto chart.
本文探讨了在护理过程中使用 4 种质量改进工具和 2 种基于证据的实践工具，鼓励对质量问题进行批判性思考。
患者及其家属期望获得以患者为中心、高质量且具有成本效益的护理。照顾重病患者具有挑战性，需要护士进行质量改进工作，以确保他们提供基于证据的护理。
探索在临床环境中使用批判性思维工具和基于证据的实践工具来评估和诊断质量问题。
护理过程是解决问题的框架。描述了一些用于评估和诊断质量问题的常用批判性思维工具，包括 spaghetti 图、5 个为什么、因果图和帕累托图。
