O'Connor P T, Wolff A M
Wimmera Base Hospital, Horsham, Victoria.
Aust Clin Rev. 1993;13(4):157-63.
Hospital accreditation has been criticized for its emphasis on structure and documentation. Less attention is given to the clinical process and outcomes of care. How can the accreditation process become a meaningful part of day-to-day hospital management? Four approaches are discussed. (1) The development of industrial type quality assurance programmes that detect negative patient outcomes and improve patient care. (2) The appointment of a Quality Assurance/Accreditation Coordinator with appropriate authority. (3) The establishment of an effective Quality Assurance/Accreditation Committee. (4) The continuous review of accreditation standards through normal committee function and department review, and trial surveys. Such strategies will enable hospital accreditation to develop beyond a paper exercise and to provide the foundation for excellence in health care delivery.
医院评审因其对结构和文件的强调而受到批评。对护理的临床过程和结果关注较少。评审过程如何才能成为日常医院管理中有意义的一部分？本文讨论了四种方法。（1）制定行业类型的质量保证计划，以发现不良患者结果并改善患者护理。（2）任命具有适当权力的质量保证/评审协调员。（3）设立有效的质量保证/评审委员会。（4）通过正常的委员会职能和部门审查以及试行调查，持续审查评审标准。这些策略将使医院评审超越书面工作，为卓越的医疗服务提供基础。
