Significance and application of quality improvement in clinical medicine

LI Zheng-Hong

doi:10.7499/j.issn.1008-8830.2309009

PDF(710 KB)

Chinese Journal of Contemporary Pediatrics ›› 2024, Vol. 26 ›› Issue (3) : 219-223. DOI: 10.7499/j.issn.1008-8830.2309009

EXPERT COMMENTARY

Significance and application of quality improvement in clinical medicine

LI Zheng-Hong

Author information +

History +

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.

Key words

Quality improvement / Methodology / Clinical medicine

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

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

References

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.