Senior S, Elliott-Boutle G, Bergin G, Addicoat L, Hall J C
Royal Perth Hospital, Australia.
J Qual Clin Pract. 1995 Sep;15(3):177-81.
The increasing usage of short-stay facilities within Australia has focused attention upon the efficiency of surgical day wards. Although the Australian Council on Healthcare Standards (ACHS) is actively promoting the development of clinical indicators for same-day facilities, there is a concern that these measurements relate to efficiency rather than to humanitarian aspects of the quality of service. We have established a programme of continuous quality improvement (CQI) in a surgical day ward with the nursing and clerical staff being empowered as core members of the team. Reviews and audits have identified a number of targets for our activity. Some issues have been resolved very easily (ward clerks telephoning patients to confirm admissions the next day) but the solution to some other problems has required lengthy negotiations between various groups (the construction of clearly written pre-admission guidelines for patients). Activities aimed at improving the service provided to patients attending surgical day wards must extend beyond the mere collection of information about clinical indicators.
澳大利亚短期住院设施使用的增加，使人们将注意力集中在外科日间病房的效率上。尽管澳大利亚医疗保健标准委员会（ACHS）正在积极推动制定同日设施的临床指标，但有人担心这些衡量标准涉及效率而非服务质量的人文方面。我们在一个外科日间病房建立了持续质量改进（CQI）计划，护理人员和文书工作人员被赋予团队核心成员的权力。审查和审计确定了我们活动的一些目标。一些问题很容易解决（病房办事员给患者打电话确认第二天的入院情况），但其他一些问题的解决需要不同群体之间进行长时间的谈判（为患者制定清晰易懂的入院前指南）。旨在改善为外科日间病房患者提供的服务的活动，必须超越单纯收集临床指标信息的范畴。
