质量改进在临床医学中的意义和应用

李正红

中国当代儿科杂志 ›› 2024, Vol. 26 ›› Issue (3) : 219-223.

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中国当代儿科杂志 ›› 2024, Vol. 26 ›› Issue (3) : 219-223. DOI: 10.7499/j.issn.1008-8830.2309009
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质量改进在临床医学中的意义和应用

  • 李正红
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Significance and application of quality improvement in clinical medicine

  • LI Zheng-Hong
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摘要

质量改进是一种方法学,首先应用于工业制造领域,是在现有质量水平的基础上,通过实施一系列的措施,使质量达到一个新水平、新高度。在日常医疗工作中常常自发进行一些医疗质量改进,有科学方法学支撑的医疗质量改进可以更科学地评估医疗质量效果,并为医务工作人员提供客观的医疗工作质量反馈。该文对质量改进方法学进行简要介绍,并举例说明其在临床医学中的应用和意义。

Abstract

Quality improvement is a methodology which was initially developed and employed in the field of industrial manufacturing. This approach involves implementing a series of interventions aimed at elevating the existing quality standards to a higher level. In daily medical work, there are often spontaneous quality improvements. Medical quality improvements supported by scientific methodology can evaluate medical quality more scientifically and provide objective feedback on the quality of medical work for healthcare professionals. This article provides a concise introduction to quality improvement and shows its application and significance in the field of clinical medicine through examples.

关键词

质量改进 / 方法学 / 临床医学

Key words

Quality improvement / Methodology / Clinical medicine

引用本文

导出引用
李正红. 质量改进在临床医学中的意义和应用[J]. 中国当代儿科杂志. 2024, 26(3): 219-223 https://doi.org/10.7499/j.issn.1008-8830.2309009
LI Zheng-Hong. Significance and application of quality improvement in clinical medicine[J]. Chinese Journal of Contemporary Pediatrics. 2024, 26(3): 219-223 https://doi.org/10.7499/j.issn.1008-8830.2309009

参考文献

1 Lohr KN, Schroeder SA. A strategy for quality assurance in Medicare[J]. N Engl J Med, 1990, 322(10): 707-712. PMID: 2406600. DOI: 10.1056/nejm199003083221031.
2 Tchou MJ, Tang Girdwood S, Wormser B, et al. Reducing electrolyte testing in hospitalized children by using quality improvement methods[J]. Pediatrics, 2018, 141(5): e20173187. PMID: 29618583. PMCID: PMC7008632. DOI: 10.1542/peds.2017-3187.
3 Gentle SJ, Meads C, Ganus S, et al. Improving time to independent oral feeding to expedite hospital discharge in preterm infants[J]. Pediatrics, 2022, 149(3): e2021052023. PMID: 35229126. DOI: 10.1542/peds.2021-052023.
4 Langley G, Nolan K, Norman C, et al. The Improvement Guide: a Practical Approach to Enhancing Organizational Performance[M]. San Francisco: Jossey-Bass, 1996.
5 Quan MY, Li ZH, Wang DH, et al. Multi-center study of enteral feeding practices in hospitalized late preterm infants in China[J]. Biomed Environ Sci, 2018, 31(7): 489-498. PMID: 30145983. DOI: 10.3967/bes2018.066.
6 Quan M, Li Z, Ward LP, et al. A quality improvement project to increase breast milk feeding of hospitalized late preterm infants in China[J]. Int Breastfeed J, 2023, 18(1): 45. PMID: 37612777. PMCID: PMC10463707. DOI: 10.1186/s13006-023-00582-0.
7 黄小路. 蓝领质量素质提升[M]. 北京: 中国质检出版社, 2014: 167.
8 Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature[J]. BMJ Qual Saf, 2012, 21(10): 876-884. PMID: 22543475. PMCID: PMC3461644. DOI: 10.1136/bmjqs-2011-000760.
9 ?Vretveit J, Bate P, Cleary P, et al. Quality collaboratives: lessons from research[J]. Qual Saf Health Care, 2002, 11(4): 345-351. PMID: 12468695. PMCID: PMC1757995. DOI: 10.1136/qhc.11.4.345.
10 Davidoff F, Batalden P. Toward stronger evidence on quality improvement. Draft publication guidelines: the beginning of a consensus project[J]. Qual Saf Health Care, 2005, 14(5): 319-325. PMID: 16195563. PMCID: PMC1744070. DOI: 10.1136/qshc.2005.014787.
11 Davidoff F, Batalden P, Stevens D, et al. Publication guidelines for quality improvement in health care: evolution of the SQUIRE project[J]. Qual Saf Health Care, 2008, 17(Suppl_1): i3-i9. PMID: 18836063. PMCID: PMC2773518. DOI: 10.1136/qshc.2008.029066.
12 Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for Quality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process[J]. BMJ Qual Saf, 2016, 25(12): 986-992. PMID: 26369893. PMCID: PMC5256233. DOI: 10.1136/bmjqs-2015-004411.
13 李正红, 全美盈. 医学领域质量改进与卓越质量改进报告规范[J]. 协和医学杂志, 2022, 13(6): 1074-1080. DOI: 10.12290/xhyxzz.2022-0210.

基金

中央高水平医院临床科研业务费资助(2022-PUUMCH-B-077)。

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