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不断提高:改善医疗保健质量和安全。

Getting better at getting better: Advancing quality and safety in healthcare.

机构信息

Healthcare Excellence Canada, Ottawa, Ontario, Canada.

University of Victoria, Victoria, British Columbia, Canada.

出版信息

Healthc Manage Forum. 2024 Nov;37(6):429-433. doi: 10.1177/08404704241271164. Epub 2024 Aug 29.

DOI:10.1177/08404704241271164
PMID:39208022
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11528836/
Abstract

Scaling the innovative models of care, policies, practices, and technologies that deliver true value requires deliberate, focused effort. We need to simultaneously apply practical strategies that enable change agents to drive meaningful, sustainable impact to address particular challenges that a health system is facing, alongside implementing proven, evidence-informed approaches that broadly strengthen health system foundations. Both approaches matter; it's not about choosing between them. Rather, we need to respond to the health system's specific and immediate needs, while also growing culture, capacity, systems, and tools that enable transformation in quality and safety.

摘要

规模化创新的医疗模式、政策、实践和技术以实现真正的价值,需要有目的、有重点的努力。我们需要同时应用切实可行的策略,使变革推动者能够产生有意义的、可持续的影响,以应对卫生系统面临的特定挑战,同时实施经过验证的、基于证据的方法,广泛加强卫生系统的基础。这两种方法都很重要;不是在两者之间做出选择。相反,我们需要针对卫生系统的具体和当前需求做出反应,同时也要培养文化、能力、系统和工具,以实现质量和安全的变革。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e98/11528836/0befd6c613b1/10.1177_08404704241271164-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e98/11528836/0befd6c613b1/10.1177_08404704241271164-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e98/11528836/0befd6c613b1/10.1177_08404704241271164-fig1.jpg

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本文引用的文献

1
Virtual care and the influence of a pandemic: Necessary policy shifts to drive digital innovation in healthcare.虚拟医疗保健和大流行的影响:推动医疗保健数字化创新的必要政策转变。
Healthc Manage Forum. 2022 Sep;35(5):272-278. doi: 10.1177/08404704221110084. Epub 2022 Jun 30.
2
Patient Safety and Staff Well-Being: Organizational Culture as a Resource.患者安全与员工福祉:组织文化作为一种资源。
Int J Environ Res Public Health. 2022 Mar 21;19(6):3722. doi: 10.3390/ijerph19063722.
3
How and under what circumstances do quality improvement collaboratives lead to better outcomes? A systematic review.
质量改进合作如何以及在什么情况下能带来更好的结果?系统评价。
Implement Sci. 2020 May 4;15(1):27. doi: 10.1186/s13012-020-0978-z.
4
Supporting the spread and scale-up of electronic consultation across Canada: cross-sectional analysis.支持加拿大电子咨询的传播和扩大:横断面分析。
BMJ Open. 2019 May 30;9(5):e028888. doi: 10.1136/bmjopen-2018-028888.