A report card on continuous quality improvement
A report card on continuous quality improvement
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DOI：
10.1111/1468-0009.00108
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发表时间：
1998-01-01
影响因子：
6.6
通讯作者：
Kilo, CM
中科院分区：
文献类型：
--
作者：
Blumenthal, D;Kilo, CM
将持续质量改进（CQI）原则纳入卫生保健的努力已经进行了大约十年。为了了解这十年的经验教训，对卫生保健领域的高级组织领导人和专家进行了采访。这个选定的小组一致认为已经取得了具体的成就：把错误归咎于个人的策略正逐渐让位于强调从过程中发现问题；对医疗保健客户有了新的关注；许多有价值的项目已经落成。然而，采访强调了一个现实，即该运动尚未对美国医疗保健系统产生相当大的影响。在组织范围内深刻认识到变革的必要性之前，对CQI原则的普遍承诺将无法实现。
Efforts to incorporate the principles of continuous quality improvement (CQI) into health care have been underway for about ten years. In order to understand the lessons of this decade of experience, senior organizational leaders and experts in the field of health care were interviewed. This select group agreed that there have been concrete accomplishments: the tactic of assigning blame for mistakes to individuals is gradually giving way to an emphasis on detecting problems with process; there is a new focus on the health care customer; and many valuable projects have been inaugurated. Nevertheless, the interviews underlined the reality that the movement has not yet made a sizable impact on the U.S. health care system. Until there is a profound, organization-wide recognition of the need for change, universal commitment to CQI principles will not be achieved.