Bertrand D, François P, Weil G
Fédération d'évaluation hospitalière, pavillon D. Villars, CHU de Grenoble, France.
Sante Publique. 1997 Dec;9(4):425-36.
In charge with the development of quality assurance in a university hospital, the authors have recorded actions realised in medical departments to improve quality. A first questionnaire was sent to every physician (340) and every chief nurse (170). The 126 answers allowed to pick 467 actions out and to identify 72 professionals who were involved in quality actions. These last ones have been asked during semi-directive interviews in view to describe those actions, their results and difficulties encountered. The main actions consisted in writing procedures (197), animating working groups (84) or department reunions (54), realising studies (54) or measuring indicators (33). This study shows the professionals' dynamism who spontaneously develop actions to improve the quality of care. It also shows the limits of these actions because of a lack of specific resources and methods.
负责大学医院质量保证工作的作者记录了医疗科室为提高质量而采取的行动。首先向每位医生（340人）和每位护士长（170人）发送了一份调查问卷。126份回复共筛选出467项行动，并确定了72名参与质量行动的专业人员。为了描述这些行动、其结果和遇到的困难，对这些专业人员进行了半指导性访谈。主要行动包括编写程序（197项）、组织工作组活动（84项）或科室会议（54项）、开展研究（54项）或指标测量（33项）。这项研究表明了专业人员的积极性，他们自发地采取行动来提高护理质量。同时也表明了由于缺乏特定资源和方法，这些行动存在局限性。
