Chowanec G D
Psychological Services, Georgia Regional Hospital, Augusta 30906.
Hosp Community Psychiatry. 1994 Aug;45(8):789-93. doi: 10.1176/ps.45.8.789.
Continuous quality improvement (CQI), a philosophy and a set of techniques for managing the quality of services in health care, involves procedures for defining an organization's goals and work processes and applying quantitative measures of quality focused on patient outcome. To successfully adapt CQI to specific mental health care settings, staff must understand the attitude, approach, and processes that distinguish CQI and must address the challenges of defining quality within mental health care and coordinating the efforts of multidisciplinary treatment teams. After detailing the development of the conceptual underpinnings of CQI, the author uses an example of implementation of CQI on a unit for chronic mentally ill patients at a state psychiatric hospital to show how these challenges can be addressed by reconceptualizing and specifying the treatment mission.
持续质量改进（CQI）是一种用于管理医疗保健服务质量的理念和一系列技术，它涉及定义组织目标和工作流程的程序，并应用以患者结果为重点的质量量化措施。为了成功地将CQI应用于特定的心理健康护理环境，工作人员必须理解区分CQI的态度、方法和流程，并且必须应对在心理健康护理中定义质量以及协调多学科治疗团队工作的挑战。在详细阐述了CQI概念基础的发展之后，作者以一家州立精神病医院的慢性精神病患者病房实施CQI的例子，展示了如何通过重新构思和明确治疗任务来应对这些挑战。
