The Hospital Medicine Reengineering Network (HOMERuN): a learning organization focused on improving hospital care.
The Hospital Medicine Reengineering Network (HOMERuN): a learning organization focused on improving hospital care.
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DOI：
10.1097/acm.0000000000000139
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发表时间：
2014-03
期刊：
影响因子：
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通讯作者：
Lindenauer PK
中科院分区：
文献类型：
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作者：
Auerbach AD;Patel MS;Metlay JP;Schnipper JL;Williams MV;Robinson EJ;Kripalani S;Lindenauer PK
将卫生保健提供系统转变为学习型组织是改善健康结果的关键战略。虽然学习型组织的方法在新生儿重症监护病房和针对疾病的协作中取得了成功，但普通医学领域的例子很少，利用医院医生的作用进行改进的例子仍然很少。本文描述了医院医学重组网络(HOMERUN)的基本原理和早期工作，这是一个由医院、住院医生和护理团队组成的协作体，其首要目的是使用数据来指导旨在改善住院患者护理的协作努力。我们回顾了Homerun的协作模式，它侧重于基于社区的参与式方法，修改后的方法包括以医院为基础的以及更大的社区，以及HomeRun的初始项目，重点是从患者和护理者的角度改善护理过渡。
Converting the health care delivery system into a learning organization is a key strategy for improving health outcomes. While the learning organization approach has been successful in neonatal intensive care units and disease specific collaboratives there are few examples in general medicine and fewer still have leveraged the role of hospitalists to implement improvements. This paper describes the rationale for and early work of the Hospital Medicine Reengineering Network (HOMERuN), a collaborative of hospitals, hospitalists, and care teams whose overarching purpose is to use data to guide collaborative efforts aimed at improving the care of hospitalized patients. We review HOMERuN’s collaborative model, which focuses on a community-based participatory approach modified to include hospital-based as well as the larger community, and HOMERuN’s initial project focusing on care transition improvement using perspectives from the patient and caregiver.