Doctors must pursue quality improvement despite challenges, King’s Fund says
Doctors must pursue quality improvement despite challenges, King’s Fund says
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国王基金会表示，尽管面临挑战，医生仍必须追求质量提高
DOI：
10.1136/bmj.h5235
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发表时间：
2015
影响因子：
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通讯作者：
M. Limb
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文献类型：
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作者：
M. Limb
智库The King‘s Fund的领导力发展主任维贾亚·纳特表示，无论医生们认为自己有多么困难和缺乏资源，他们都应该推行提高护理质量的计划。
在国王基金举行的一场辩论中，纳特告诉领先的临床医生，那些担心NHS信托基金在削减关键职位的同时，对质量改进口惠而实不至的医生应该继续推动创新。
如果临床领导不搞质量改进[QI]的过程，不不停地说、问，谁还会呢？现在，在资源稀缺的时候，撤资开发QI人才是完全错误的时机。
Nath于9月23日主办了一次活动，主题是通过提高质量实现医疗参与。她说，强大的医疗领导对各组织努力改善患者的安全和护理质量以及为患者提供长期利益至关重要。但她表示，NHS不太可能看到国家资助的质量改进计划。
她告诉她的约40名临床医生的听众，“你们迫不及待地想要一个全国性的项目。你必须走出去，做一些你能做的事情。你必须专注于能给你带来更大影响的20%的事情，而不是全部的100%。
她说，健康专家越来越多地将目光投向美国，以寻找改善医疗质量的证据，以及Event…
Doctors should pursue schemes to improve the quality of care, however hardpressed and lacking in resources they think they are, says Vijaya Nath, director of leadership development at the think tank the King’s Fund.
Speaking at a debate held at the King’s Fund, Nath told leading clinicians that doctors who feared that NHS trusts were paying “lip service” to quality improvement while cutting back vital posts should continue to drive forward innovations.
“If clinical leaders don’t engage in the process of quality improvement [QI] and don’t keep talking about it and asking for it, who will? Now, in times of scarcity, is exactly the wrong time to disinvest in developing the talent of people in QI,” she said.
Nath hosted an event on 23 September on the topic of achieving medical engagement through quality improvement. She said that strong medical leadership was vital to organisations’ efforts to improve the safety of patients and the quality of care and to the delivery of long lasting benefits to patients. But the NHS was unlikely to see a nationally funded quality improvement scheme, she said.
She told her audience of around 40 clinicians, “You can’t wait for a national programme. You have to go out there and do something with what you can do. You have to focus on the 20% of the things that will give you a bigger impact, not the whole 100%.”
Health experts increasingly look to the United States for evidence on improving care quality, she said, and the event …