McCulloch C A, Tucker D E
Scarborough Grace Hospital, Ontario.
Can J Nurs Adm. 1996 Nov-Dec;9(4):53-72.
Economic restraints are forcing hospitals to develop and implement patient centered, cost-effective care approaches. This article describes how the quality of care to older patients with hip fractures was improved using Continuous Quality Improvement (CQI) and Managed Care processes. During a six month project, twenty five female patients were treated. Outcomes demonstrated that using CQI and Managed Care are effective in reducing mortality, complications and length of stay. As well, staff and patient satisfaction were very high. The structure, process and outcomes of this project are discussed.
经济限制正迫使医院制定并实施以患者为中心、具有成本效益的护理方法。本文描述了如何通过持续质量改进（CQI）和管理式护理流程来提高老年髋部骨折患者的护理质量。在一个为期六个月的项目中，对25名女性患者进行了治疗。结果表明，使用CQI和管理式护理在降低死亡率、并发症和住院时间方面是有效的。此外，工作人员和患者的满意度非常高。本文还讨论了该项目的结构、流程和结果。
