Integrating quality improvement into healthcare operations: A system's approach

IF 3 4区 医学 Q1 PEDIATRICS
Amanda Pellerito MA, BSN, RN, CCRN, CPHQ , Susan Berman RN, CPHQ , Angela Ortiz BSN, RN , Christelle Cossais MHSC, BS, RN, NHE , Christopher D. Mangum CSSBB
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引用次数: 0

Abstract

A palpable pulse on organizational culture is imperative for allowing senior leadership to understand the current state and use this as a starting point to measure the gap between the current state and where the organization should be to meet strategic goals related to quality and safety. Knowledge gleaned from causal analysis and coding of safety events provides the organization with that information. Our organization was unknowingly making decisions on a small quantity of coded and classified events, which led to mistakes on our journey to becoming a high-reliability organization.

To remedy this, the Quality and Safety Team improved the user interface of the event reporting system and created standard work for all frontline staff, physicians, area managers and senior leaders. After several interventions, we reduced the time between reported events and documented resolution by 15.28% and increased the quantity of coded and classified safety events tenfold. These changes improved our organization's ability to make better informed decisions and plot a more precise course on the journey to becoming a high-reliability organization.

将质量改进集成到医疗保健操作中:系统的方法。
组织文化的明显脉搏是必不可少的,它允许高级领导层了解当前状态,并将其作为衡量当前状态与组织应该达到的质量和安全相关战略目标之间的差距的起点。从安全事件的原因分析和编码中收集的知识为组织提供了这些信息。我们的组织在不知情的情况下对少量的编码和分类事件做出决策,这导致我们在成为高可靠性组织的过程中犯了错误。为了解决这个问题,质量和安全小组改进了事件报告系统的用户界面,并为所有一线员工、医生、区域经理和高级领导制定了标准工作。经过几次干预,我们将报告的事件和记录的解决方案之间的时间缩短了15.28%,并将编码和分类的安全事件的数量增加了十倍。这些变化提高了我们组织做出更明智决策的能力,并在成为高可靠性组织的过程中制定了更精确的路线。
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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
61
审稿时长
5 days
期刊介绍: Recognized for its probing, comprehensive, and evidence-based reviews, Current Problems in Pediatric and Adolescent Health Care devotes each issue to a timely and practical topic in pediatric medicine, presented by leading authorities in the field. The journal offers readers easily accessible information that enhances professional experience and is pertinent to daily pediatric practice. Each issue''s review article is accompanied by an additional special feature designed to highlight a particular aspect of the topic presented.
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