...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Radiographics >Realizing Improvement through Team Empowerment (RITE): A Team-based, Project-based Multidisciplinary Improvement Program
【24h】

Realizing Improvement through Team Empowerment (RITE): A Team-based, Project-based Multidisciplinary Improvement Program

机译：通过团队授权（RITE）实现改进：基于团队，基于项目的多学科改进计划

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Performance improvement in a complex health care environment depends on the cooperation of diverse individuals and groups, allocation of time and resources, and use of effective improvement methods. To address this challenge, we developed an 18-week multidisciplinary training program that would also provide a vehicle for effecting needed improvements, by using a team-and project-based model. The program began in the radiology department and subsequently expanded to include projects from throughout the medical center. Participants were taught a specific method for team-based problem solving, which included (a) articulating the problem, (b) observing the process, (c) analyzing possible causes of problems, (d) identifying key drivers, (e) testing and refining interventions, and (f) providing for sustainment of results. Progress was formally reviewed on a weekly basis. A total of 14 teams consisting of 78 participants completed the course in two cohorts; one project was discontinued. All completed projects resulted in at least modest improvement. Mean skill scores increased from 2.5/6 to 4.5/6 (P<.01), and the mean satisfaction score was 4.7/5. Identified keys to success include (a) engagement of frontline staff, (b) teams given authority to make process changes, (c) capable improvement coaches, (d) a physician-director with improvement expertise and organizational authority, (e) capable administrative direction, (f) supportive organizational leaders, (g) weekly progress reviews, (h) timely educational material, (i) structured problem-solving methods, and (j) multiple projects working simultaneously. The purpose of this article is to review the program, including the methods and results, and discuss perceived keys to program
机译：在复杂的医疗环境中，绩效的提高取决于不同个人和群体的合作，时间和资源的分配以及有效的改进方法的使用。为了应对这一挑战，我们开发了一个为期18周的多学科培训计划，该计划还将通过使用基于团队和项目的模型来提供实现所需改进的工具。该计划始于放射科，随后扩展到涵盖整个医疗中心的项目。向参加者讲授了一种基于团队的问题解决方法，该方法包括（a）阐明问题，（b）观察过程，（c）分析可能的问题原因，（d）识别关键驱动因素，（e）测试和完善干预措施，以及（f）维持成果。每周都会对进度进行正式审查。总共14个团队（由78位参与者组成）分两个队列完成了该课程;一个项目被终止。所有已完成的项目至少都会产生适度的改进。平均技能得分从2.5 / 6增加到4.5 / 6（P <.01），平均满意度得分是4.7 / 5。成功的关键包括：（a）一线员工的参与;（b）有权进行流程变更的团队;（c）有能力的改进教练;（d）具有改进专业知识和组织权限的医师-主任;（e）有能力的管理人员方向，（f）支持组织的领导者，（g）每周进度审查，（h）及时的教材，（i）结构化的问题解决方法以及（j）多个项目同时进行。本文的目的是回顾程序，包括方法和结果，并讨论程序的感知键。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号