期刊
CANADIAN JOURNAL OF EMERGENCY MEDICINE
卷 24, 期 2, 页码 195-205出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s43678-021-00252-2
关键词
Quality improvement; Patient Safety; Emergency Service; Hospital; Quality Indicators; Health Care
The field of quality improvement and patient safety in emergency medicine has seen significant development in the past decade. Establishing a robust QIPS infrastructure helps prioritize and organize projects for greater success and impact on patients and the system. By following John Kotter's method described in "Leading Change," a well-defined and accountable departmental QIPS committee can be established and practical examples shared.
The field of quality improvement and patient safety (QIPS) has matured significantly in emergency medicine over the past decade. From standalone, strategically misaligned, and incoherently designed QIPS projects years ago, emergency department (ED) leaders have now recognized that developing a more robust QIPS infrastructure helps prioritize and organize projects for a greater likelihood of success and impact for patients and the system. This process includes the development of a well-defined, accountable, and supported departmental QIPS committee. This can be achieved effectively using a deliberate and structured approach, such as the one described by Harvard Business School Professor John Kotter in his seminal work, Leading Change. Herein, we present a blueprint using this framework and include practical examples from our experience developing a robust and successful ED QIPS committee and infrastructure. The steps include how to develop a burning platform, select a guiding coalition of leaders, develop a strategic vision and initiatives, recruit a volunteer army of members, enable actions for the committee, generate short-term successes, sustain the pace of change, and, finally, enable the infrastructure to support ongoing improvements. This road map can be replicated by ED teams of variable sizes and settings to structure, prioritize, and operationalize their QIPS activities and ultimately improve the outcomes of their patients.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据