Continuously Improving Patient Care: Practical Lessons and an Assessment Tool from the National ICU Study

Stephen M. Shortell PhD, Jack E. Zimmerman MD, FCCM (Professor of Medicine and Director of the Intensive Care Unit (ICU) Research Center), Robin R. Gillies PhD, Joanne Duffy RN, DNSc, CCRN (Assistant Professor), Kelly J. Devers MA (Doctoral candidate), Denise M. Rousseau PhD (Professor or Organization Behavior), William A. Knaus MD (Professor of Anesthesiology and Director of the ICU Research Unit)
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持续改善病人护理:来自国家ICU研究的实践经验和评估工具
医院在保持质量的同时降低成本或在一定成本水平下提供更高质量的压力在重症监护服务中尤为重要,因为由于报销限制,重症监护服务越来越难以使收入与成本相匹配。与此同时,重症监护病房风险调整死亡率有两到三倍的差异。本文提供了一个思考重症监护服务持续改进的模型,借鉴了国家ICU研究,以确定与更好的绩效相关的基本组织和管理流程,并提供了一个经过验证的评估工具,可作为持续改进的工具。
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