Huskins W C, Soule B M, O'Boyle C, Gulácsi L, O'Rourke E J, Goldmann D A
Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
Infect Control Hosp Epidemiol. 1998 Feb;19(2):125-35. doi: 10.1086/647780.
Continuous quality improvement (CQI) is a powerful methodology for improving clinical outcomes and patient satisfaction while reducing inefficiency and costs. However, most hospitals in low- and middle-income countries have little experience with CQI methods. Hospital infection prevention is an ideal model for nascent efforts to improve the quality of hospital care because of its proven efficacy in reducing the occurrence of infections that compromise patient outcomes and increase costs. This article describes the design and implementation of a demonstration project to reduce the incidence of surgical-site infections (SSIs) for hospitals with little experience with quality-improvement methods. The project has a high likelihood of producing measurable reductions in SSI rates and hospital costs related to inefficient use of perioperative antimicrobial prophylaxis. Moreover, participating staff will gain experience that can be applied to efforts to improve the quality of other aspects of hospital care.
持续质量改进（CQI）是一种强大的方法，可改善临床结果和患者满意度，同时减少低效率和成本。然而，低收入和中等收入国家的大多数医院对CQI方法几乎没有经验。医院感染预防是改善医院护理质量初期努力的理想模式，因为它在减少影响患者预后并增加成本的感染发生率方面已被证明有效。本文描述了一个示范项目的设计与实施，该项目旨在降低对质量改进方法缺乏经验的医院的手术部位感染（SSI）发生率。该项目很有可能使SSI发生率以及与围手术期抗菌药物预防使用不当相关的医院成本显著降低。此外，参与项目的工作人员将获得经验，可应用于改善医院护理其他方面质量的工作中。
