主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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• 特别策划·护理科研与临床实践 • 上一篇    下一篇

质量测量指标在护理品质管理中的应用

周绣玲 谢侑伶   

  1. 台湾亚东纪念医院,阳明大学及亚东技术学院(周绣玲);台湾亚东纪念医院质量管理中心(谢侑伶)
  • 出版日期:2016-09-25 发布日期:2016-09-25

The development and application of quality indicator measurement used in the nursing quality control

  • Online:2016-09-25 Published:2016-09-25

摘要: 医疗界品管大师Donabedian 强调“没有测量就没有质量”,可知测量对于质量的重要性,实际运用中则以指标进行医疗照护结构、过程与结果层面的监测,以作为医疗照护质量提升的参考。中国台湾地区的质量指标发展虽较世界先进国家和地区较晚,但发展至今已有本土化及覆盖全省的医疗质量指标监测系统,包括台湾临床成效指标(TCPI)、台湾医疗照护质量指标(THIS)与台湾地区医院协会发展指标系统(TCHA)等指标计划。亚东纪念医院藉由导入质量指标计划,逐步建构全面性的质量指标管理系统,制定全院质量指标制/ 修订、监测与改善的规范,在护理品管的推广过程中,凭借培养护理同仁的品管能力,将管制图运用于日常的病房指标监测,以积极推进质量改善的PDCA 循环,同时积极拓展与同侪医院间的观摩与学习,通过建构、逐步推广、扩散与分析检讨,使护理品管的推广更畅通,实现以“病人为中心”的高水平的照护质量。

Abstract: Donabedian emphasized that "there is no measurement, no quality", so we can know the importance of measurement for quality. We always used indicator to monitor healthcare structure, process and outcome, and thus according to improving the healthcare quality. Although indicator’s project developed in Taiwan was later than developed countries, but Taiwan province had many localized quality indicators measurement system, such as TCPI, THIS, and TCHA. Far Eastern Memorial Hospital introduced TQIP project indicators to construct internal indicators for quality monitoring system, which were development of standard documents for monitor and improvement guideline. Taking forward the process of nursing quality care, we established quality knowledge through each training program, and applied control chart to monitor daily care active, used the PDCA (Plan-Do-Check-Action ) to improve quality, and communicate with hospital peer groups.According to quality system of setting up, developing, spreading, analysising and reviewing, these indicators can be used in nursing quality system, and taked forward towards high quality of "patient-centered care".