医疗品质政规划蓝图.ppt

What is Healthcare Performance Thanks for your attentions Q A Tips for success STOP the line Empower nurses to stop line placement if improper techniques are used Leadership support culture Evidence Standard equipments pack Checklist, central line carts Clinical appropriateness 67家醫院，103個ICU 感染率從2.4%降至0 下一步… New interventions targeted at harm: Prevent Pressure Ulcers... by reliably using science-based guidelines for their prevention Reduce MRSA Infection…by reliably implementing scientifically proven infection control practices Prevent Harm from High-Alert Medications... starting with a focus on anticoagulants, sedatives, narcotics, and insulin Reduce Surgical Complications... by reliably implementing all of the changes in care recommended by the Surgical Care Improvement Project (SCIP) Deliver Reliable, Evidence-Based Care for Congestive Heart Failure…to reduce readmissions Get Boards on Board….Defining and spreading the best-known leveraged processes for hospital Boards of Directors, so that they can become far more effective in accelerating organizational progress toward safe care 策略 推動實證基礎的品質改善活動 選定主題標竿學習 標準作業 鼓勵醫師參與 為何需要醫師參與? 醫院內很少有事情不需要醫師的”Order”而可執行 醫療品質不會只單純為”服務品質” 品質改善需要全員參與 醫師扮演的角色 Champions* Medical Leadership/ Committee members Project leader- test of change Adopter-physician willing to cooperate Cautious laggard 病人為中心Patient / families centered 什麼是病人為中心的照護 “Understanding and respecting patients’ values, preferences and expressed needs is the foundation of patient-centered care” ---Harvey Picker 病人為中心的思維 從病人的眼中了解其需求 尊重病人的價值、偏好與需求 協調、整合的醫療照護模式 克服語言的障礙 減輕身體的不適 提供情感上的支持 將病人的親友納入支持網絡 協助轉診或出院 病人/家屬的參與 醫療品質是在醫療過程中取得病患的合作與參與 Facility planning Patient care rounds Patient education program Complementary therapy task force Policy review Safety rounds Disclosure 策略 改變思維 使用病友了解的文字或說明 建立夥伴關係 績效Performance Patient centered Patient focus Response Effectiveness Improving Health Clinical focus Patient safety Accessibility Efficiency Cost /Expenditure E