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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >A new framework for quality partnerships in Children's Hospitals.
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A new framework for quality partnerships in Children's Hospitals.

机译：在儿童医院建立优质合作伙伴关系的新框架。

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摘要

Children's hospitals and their affiliated departments of pediatrics often pursue separate programs in quality and safety; by integrating these programs, they can accelerate progress. Hospital executives and pediatric department chairs from 14 children's hospitals have been exploring practical approaches for integrating quality programs. Three components provide focus: (1) alignment of quality priorities and resources across the organizations; (2) education and training for physicians in the science of improvement; and (3) professional development and career progression for physicians in recognition of quality-improvement activities. Process and resource requirements are identified for each component, and specific, actionable steps are identified. The action steps are arrayed on a continuum from basic to advanced integration. The resulting matrix serves as an integration framework, department at any stage of integration for assessing its current state, plotting a path toward further integration, tracking its progress, and identifying potential collaborators and models of advanced integration. The framework contributes to health care's quality-improvement movement in multiple ways: it addresses a basic impediment to quality and safety improvement; it is an implementable model for integrating quality programs; it offers career-advancement potential for physicians interested in quality; it helps optimize investments in quality and safety; and it can be applied both within a single children's hospital and across multiple children's hospitals. Widespread adoption of the integration framework could have a transformative effect on the children's hospital sector, not the least of which is improved quality and safety on a large scale.
机译：儿童医院及其附属的儿科部门通常在质量和安全性上实行单独的计划;通过集成这些程序，它们可以加快进度。来自14家儿童医院的医院主管和儿科部门主席一直在探索整合质量计划的实用方法。三个组成部分提供了重点：（1）组织中质量优先级和资源的一致性; （2）对医师进行科学改进的教育和培训; （3）承认质量改进活动的医师的专业发展和职业发展。确定每个组件的过程和资源需求，并确定可采取的具体步骤。从基本集成到高级集成，操作步骤都是连续的。生成的矩阵用作集成框架，可以在集成的任何阶段评估部门的当前状态，绘制进一步集成的路径，跟踪其进度以及确定潜在的协作者和高级集成模型。该框架以多种方式为卫生保健的质量改进运动做出贡献：解决了质量和安全改进的基本障碍;它是整合质量计划的可行模型;它为对质量感兴趣的医生提供了职业发展的潜力;它有助于优化质量和安全性投资;它既可以在单个儿童医院中使用，也可以在多个儿童医院中使用。一体化框架的广泛采用可能对儿童医院部门产生变革性影响，其中最重要的是大规模改善质量和安全性。

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