一种多方法质量改进方法,系统地改进和促进国家卫生和社会保健信息的质量。

Niamh McGrath, Barbara Foley, Caroline Hurley, Maria Ryan, Rachel Flynn
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引用次数: 5

摘要

安全可靠的卫生保健取决于获得准确、有效、可靠、及时、相关、清晰和完整的卫生信息。国家数据收集是保健和社会保健数据的储存库,在保健规划和临床决策方面发挥着至关重要的作用。我们描述了一个循证多方法质量改进方案的发展,旨在提高爱尔兰健康和社会保健数据的质量。所涉及的具体组成部分:制定指南,支持卫生信息标准的实施;审查程序以评估是否符合标准;并就卫生数据和信息质量对卫生信息利益攸关方进行教育。从该方案的实施情况来看,健康信息利益相关者的意识增强了,信息管理标准的采用也增加了。审查程序中使用的方法已被证明是一种确定信息管理实践中良好实践领域和改进机会的可靠方法。在接受审查的组织中,该计划得到了积极的采用,并接受了提出的建议。早期迹象表明,这种多方法办法将推动信息管理做法的改进,从而提高爱尔兰保健和社会保健数据的质量。这种办法的某些方面可以加以调整,以满足其他国家的需要。
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A multi-method quality improvement approach to systematically improve and promote the quality of national health and social care information.

Safe and reliable healthcare depends on access to health information that is accurate, valid, reliable, timely, relevant, legible and complete. National data collections are repositories of health and social care data and play a crucial role in healthcare planning and clinical decision-making. We describe the development of an evidence-informed multi-method quality improvement program aimed to improve the quality of health and social care data in Ireland. Specific components involved: development of guidance to support implementation of health information standards; review program to assess compliance with standards; and educating health information stakeholders about health data and information quality. Observations from implementation of the program indicate enhanced health information stakeholder awareness of, and increased adoption of information management standards. The methodology used in the review program has proved to be a robust approach to identify areas of good practice and opportunities for improvement in information management practices. There has been positive adoption of the program among organisations reviewed and acceptance of the proposed recommendations. Early indications are that this multi-method approach will drive improvements in information management practices, leading to an improvement in health and social care data quality in Ireland. Aspects of this approach may be adapted to meet the needs of other countries.

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