Cole L, Lasker-Hertz S, Grady G, Clark M, Houston S
St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
Nurs Case Manag. 1996 Sep-Oct;1(4):160-72.
In today's healthcare environment, institutions are striving to streamline processes, reduce costs of healthcare, and establish best practice patterns while maintaining and improving the quality of care provided. Various healthcare delivery models are in use including case management and outcomes management. Various tools or structured-care methodologies (SCMs) are incorporated into these different models to support cost reduction and streamline processes while enhancing quality of care. This article discusses the tools frequently used, such as critical pathways, algorithms, and guidelines, as well as how these tools can be used in combination to support each other. This article also addresses the benefits of SCMs, how these tools are developed, and how the data obtained can be used in quality enhancement programs.
在当今的医疗环境中,各机构都在努力简化流程、降低医疗成本,并在维持和提高所提供医疗质量的同时建立最佳实践模式。目前正在使用各种医疗服务提供模式,包括病例管理和结果管理。各种工具或结构化护理方法(SCM)被纳入这些不同的模式中,以支持降低成本、简化流程,同时提高护理质量。本文讨论了常用的工具,如关键路径、算法和指南,以及这些工具如何相互结合使用以相互支持。本文还阐述了结构化护理方法的益处、这些工具是如何开发的,以及所获得的数据如何用于质量提升项目。