Seven Propositions of the Science of Improvement: Exploring Foundations
Seven Propositions of the Science of Improvement: Exploring Foundations
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DOI：
10.1097/qmh.0b013e31829a6a15
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发表时间：
2013-07-01
影响因子：
1.2
通讯作者：
Parry, Gareth J.
中科院分区：
文献类型：
--
作者：
Perla, Rocco J.;Provost, Lloyd P.;Parry, Gareth J.
内容：“改进的科学”或“改进科学”这个短语今天被一系列人和专业人士用来表示不同的东西，给那些试图了解改进的人造成了混乱。本文简要地界定了改进和科学的概念，并回顾了把“改进”当作一门科学来考虑的历史。研究方法：我们追踪改进中的关键概念和思想，以它们的哲学和理论基础为重点，重点是德明的渊博知识体系。我们认为，德明的体系与当代和历史上许多哲学和科学的争论和概念有着密切的联系。参考这些辩论和概念，我们确定了7个命题，为改进科学提供了科学和哲学基础。调查结果：一个标准的观点，科学的改进目前并不存在，是在哲学和理论基础的领域。这里概述的7个命题证明了检查改进基础的价值。这既需要推进该领域，也需要尽量减少对“改进科学”一词所代表的含义的混淆。我们认为，先进的科学家的改进是那些谁喜欢德明和休哈特可以集成的想法，概念和模型之间的科学学科的目的，开发更强大的改进模型，工具和技术，重点是应用和解决问题的真实的世界背景。结论：改进科学的认识论基础和理论基础及其推理方法需要进行批判性审查，以确保其持续发展和相关性。如果医疗保健的改进工作和项目是根据科学的佳能的特点，然后从事质量改进工作的医疗保健专业人员将受益于一套标准的核心原则，一个标准的词汇，并了解科学的进步。
Context: The phrase "Science of Improvement" or "Improvement Science" is commonly used today by a range of people and professions to mean different things, creating confusion to those trying to learn about improvement. In this article, we briefly define the concepts of improvement and science, and review the history of the consideration of "improvement" as a science. Methods: We trace key concepts and ideas in improvement to their philosophical and theoretical foundation with a focus on Deming's System of Profound Knowledge. We suggest that Deming's system has a firm association with many contemporary and historic philosophic and scientific debates and concepts. With reference to these debates and concepts, we identify 7 propositions that provide the scientific and philosophical foundation for the science of improvement. Findings: A standard view of the science of improvement does not presently exist that is grounded in the philosophical and theoretical basis of the field. The 7 propositions outlined here demonstrate the value of examining the underpinnings of improvement. This is needed to both advance the field and minimize confusion about what the phrase "science of improvement" represents. We argue that advanced scientists of improvement are those who like Deming and Shewhart can integrate ideas, concepts, and models between scientific disciplines for the purpose of developing more robust improvement models, tools, and techniques with a focus on application and problem solving in real world contexts. Conclusions: The epistemological foundations and theoretical basis of the science of improvement and its reasoning methods need to be critically examined to ensure its continued development and relevance. If improvement efforts and projects in health care are to be characterized under the canon of science, then health care professionals engaged in quality improvement work would benefit from a standard set of core principles, a standard lexicon, and an understanding of the evolution of the science of improvement.