The Past, Present, and Future of Urgent Matters: Lessons Learned from a Decade of Emergency Department Flow Improvement
The Past, Present, and Future of Urgent Matters: Lessons Learned from a Decade of Emergency Department Flow Improvement
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DOI：
10.1111/j.1553-2712.2011.01229.x
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发表时间：
2011-12-01
影响因子：
4.4
通讯作者：
Pines, Jesse M.
中科院分区：
文献类型：
--
作者：
McClelland, Mark Stephen;Lazar, Danielle;Pines, Jesse M.
在过去的十年里，急诊科（ED）遇到了巨大的挑战，因为越来越拥挤，公众更关注质量测量和质量改进。为了应对这些挑战，许多急诊科努力改进其流程，开发新的和创新的医疗服务模式。通过与美国各地的医院合作，Urgent Matters为急诊科的质量和病人流量的改善做出了贡献。认识到全国的急诊科都在与许多相同的问题作斗争，由罗伯特·伍德·约翰逊基金会（RWJF）资助的紧急事项项目寻求确定、开发和传播创新的方法、干预措施和模式，以改善急诊科的流程和质量。使用各种技术，如学习网络（协作）、全国会议、电子通讯、网络研讨会、最佳实践工具包和社交媒体，Urgent Matters已经成为教育质量改进倡议的思想领袖和创新者。“紧急事项七项成功因素”是从项目参与者早期的工作中得出的，并为实施和维持ED改进活动提供了实用的指导方针。本文记录了“紧急事项”项目的历史、活动、经验教训和未来。
Over the past decade, emergency departments (ED) have encountered major challenges due to increased crowding and a greater public focus on quality measurement and quality improvement. Responding to these challenges, many EDs have worked to improve their processes and develop new and innovative models of care delivery. Urgent Matters has contributed to ED quality and patient flow improvement by working with hospitals throughout the United States. Recognizing that EDs across the country are struggling with many of the same issues, Urgent Mattersa program funded by the Robert Wood Johnson Foundation (RWJF)has sought to identify, develop, and disseminate innovative approaches, interventions, and models to improve ED flow and quality. Using a variety of techniques, such as learning networks (collaboratives), national conferences, e-newsletters, webinars, best practices toolkits, and social media, Urgent Matters has served as a thought leader and innovator in ED quality improvement initiatives. The Urgent Matters Seven Success Factors were drawn from the early work done by program participants and propose practical guidelines for implementing and sustaining ED improvement activities. This article chronicles the history, activities, lessons learned, and future of the Urgent Matters program.