Evidence for evidence-based quality improvement (Re: Int J Evid Based Healthc 2010; 8(3): 109).
Evidence for evidence-based quality improvement (Re: Int J Evid Based Healthc 2010; 8(3): 109).
复制标题
基于证据的质量改进证据（回复：Int J Evid Based Healthc 2010；8(3): 109）。
DOI：
10.1111/j.1744-1609.2010.00202.x
复制
发表时间：
2011
影响因子：
--
通讯作者：
Willard,Grace
中科院分区：
文献类型：
--
作者：
Stevens,KathleenR;Willard,Grace
亲爱的编辑：艾伦·皮尔森教授的社论受到了改进科学研究者的欢迎。皮尔森教授准确地描述了改善科学的重点是识别测量卫生系统内的改善策略。改善科学研究网络（ISRN）是美国国立卫生研究院支持的唯一改善研究网络。我想详细阐述他的发言，以进一步向读者介绍ISRN，它是如何产生的，以及未来工作的主要重点。虽然提高病人护理的质量和安全性在十多年前就上升到了最高优先级，但在建立改善的科学基础方面取得的进展太少，特别是在急性护理环境中。虽然已经进行了一些开创性的研究，但这些努力往往局限于局部地点或科学严谨性不足。研究的性质使人们几乎没有机会广泛地测试研究结果，从多个人群中收集数据或在多个地点分享所学到的东西。达特茅斯医学院家庭和社区医学副教授、ISRN指导理事会成员苏珊娜·贝耶说，从事医疗保健工作的人往往在孤岛上工作。她进一步指出，"我们倾向于只呆在我们的组织里，我们的领域里，我们的观点里.这使得为患者提供最佳质量的护理，甚至知道什么是最佳质量的护理，都变得具有挑战性。2.伙伴关系并非总是一帆风顺。ISRN将在学术和临床研究人员之间建立研究合作，目标是进行多地点，跨专业，严格的改进研究。研究合作使人们有可能建立在循证实践的基础上，专注于测试改进策略，并最终改善护理过程和患者的结果。为了促进这些目标，ISRN的合作将得到一个协调中心的支持，该中心将包括一个进行研究和能力建设的网络环境、一条技术支持热线，一系列资源，用于在该领域建立一支强大的科学家队伍（例如，围绕改进科学的关键概念组织的研究工具和书目的概要）和通讯场所，如时事通讯，在线互动和网络广播。ISRN填补了改善科学的国家空白，建立了一个中心结构，在此基础上建立一个可持续的，全面的网络，用于测试急性护理环境中的改善方法。该基础设施正在全球范围内迅速扩展，并跨越门诊和健康环境。技术基础设施将使其
Dear Editor: Professor Alan Pearson’s editorial1 is embraced by the community of improvement science researchers. Professor Pearson accurately describes the focus of improvement science as the identification measurement of improvement strategies within health systems. The Improvement Science Research Network (ISRN) is the only National Institutes of Health supported improvement research network. I would like to elaborate on his statements to further inform the readers about the ISRN, how it came about and the primary focus of the work ahead.Although improving the quality and safety of patient care rose to a top level priority more than a decade ago, too little progress has been made in building the scientific basis for improvement, particularly in acute care settings. While some groundbreaking research has been done, such efforts often have been confined to localised sites or are of insufficient scientific rigor. The nature of the research affords few opportunities to broadly test findings, collect data from multiple populations or share what has been learned across multiple sites. People who work in healthcare tend to work in silos, says Suzanne Beyea, associate professor of Family and Community Medicine at Dartmouth Medical School and ISRN Steering Council member. She further states,‘We tend to just stay within our organizations, within our fields, within our perspectives. This makes it challenging to offer the best quality of care to patients or even to know what constitutes the best quality of care.’2 Partnerships have not always come easily. The ISRN will forge research collaboratives among academic and clinical researchers with the goal of conducting multisite, interprofessional, rigorous improvement research. The research collaboratives make it possible to build on evidence-based practice, focus on testing improvement strategies and ultimately improve care processes and patient outcomes. To facilitate these ambitions, the ISRN’s collaborative will be supported by a coordinating centre hub which will include a web environment for the conduct of research and capacity-building, a technical support line, a collection of resources to use in creating a strong cadre of scientists in the field (eg a compendium of research instruments and bibliographies organised around key concepts in improvement science) and communication venues such as newsletters, online interaction and web casts. The ISRN fills a national gap in improvement science by creating a central structure upon which to build a sustainable, comprehensive network for testing improvement approaches in acute care settings. The infrastructure is rapidly expanding globally and across ambulatory and wellness settings. The technological infrastructure will make it