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首页> 外文期刊>International Journal for Quality in Health Care >The challenge of explaining why quality improvement has not done better
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The challenge of explaining why quality improvement has not done better

机译：解释为什么质量改善效果不佳的挑战

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摘要

It is always easier to suggest reasons why something failed than succeeded. The frequently expretssed concerns about quality of health care make it a fitting"-topic for examination [1-3]. Many preach the doctrine of continuous improvement, arguing that the system is at fault not the individual [4-7]. Whereas some bemoan the lack of a business case for quality in health care [8], others propose creating environments that will encourage and reward better quality [9-11]. There is a litany of problems in introducing quality improvement in health care [12-15]. Report cards and pay for performance can certainly yield perverse results [16]. The analysis by T. Katz-Navon et al. in this issue puts forth three reasons why efforts to improve quality have not gone as well as might be hoped: (i) They challenge the frequently used "clinicians as pilots" metaphor. (ii) They raise the risk of sending mixed messages to clinicians. (iii) They cite the need for organizations to be willing to disclose their errors as the basis for improving.
机译：建议失败的原因总是比失败容易。人们经常对医疗质量表示担忧，这使它成为适合检查的“话题” [1-3]。许多人提出了持续改进的学说，认为该体系有问题而不是个人[4-7]。由于缺乏卫生保健质量的商业案例[8]，其他人建议创造一种环境来鼓励和奖励更好的质量[9-11]。在卫生保健中引入质量改进存在很多问题[12-15] ]。成绩单和绩效工资肯定会产生不正确的结果[16]。T. Katz-Navon等人在此问题上的分析提出了以下三个原因，这些原因导致改进质量的努力未能如愿以偿： （i）他们挑战了经常使用的“临床医生作为飞行员”的隐喻;（ii）他们增加了向临床医生发送混合信息的风险;（iii）他们指出，组织必须愿意披露其错误，以此作为改进基础。

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