護理資訊科技創新與品質提升

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1、邁入二十一世紀護理資訊科技創新與品質提升(二)大綱護理行政趨勢護理資訊科技的發展過去、現在及未來品質與生產力的無限提升創新的觀念與實際應用資訊科技品質與創新整合結論一、品質的定義品=++品字為三個口組成，表示產品的好壞是決定於眾人的議論，而非決定於某一個人的喜愛質=斤+斤+貝要斤斤計較產品的價格品質品質兩字合起來，顧名思義是指產品的特質，而這個特質的評鑑是基於大多數人的意見及在某特定價格下所訂出的標準。『品質』是一種快樂、滿足感，甚至是成就感品質是顧客的滿意創新與卓越品質是人、事、物一切的品質，是生產

2、力的提升好的品質一切工作都很順暢，有效率有效果。一、護理品質的定義Zimmer:Qualityisadistinguishingcharacteristicthatdeterminesthevalue,rank,ordegreeofexcellence.Assuranceincludestheactsofmakingsureandofgivingconfidenceandtrust.Q.A.:QualityAssuranceQ.C.:QualityControlQ.A.S.:QualityAssuranceSy

3、stemQ.A.P.:QualityAssuranceProgramsC.W.Q.C.:CompanyWideQualityControlT.Q.C.:TotalQualityControl二、品質有關名詞解釋QualityAssuranceSystem(QAS):Theconnectionthroughorganizedprocedures,achievethehigherdegreeofexcellence.Itisinput,process,output,andfeedbacksystem.Itisasy

4、stematic,integrated,calculated,rationalandtechnicalinstrumenttoevaluatethequalityofcare.QualityAssurancePrograms(QAP)ProfessionalStandardsSettingPeerReviewPatientCareProfileAnalysisUtilizationReviewPatientCareConcurrentProcessAuditPatientCareRetrospectiveCha

5、rtAudit.QualityAssuranceActivitiesProfessionalStandardsSettingPatientCareConcurrentProcessAuditPatientCareProfileAnalysisUtilizationReviewPatientCareRetrospectiveChartAuditPeerReview三、品質歷史淵源FlorenceNightingale(1858)Aydellotte(1960)Abdellah(1961)ProfessionalS

6、tandardsReviewOrganization(PSRO)-1970PeerReviewPhaneuf(1972)SocialSecurityAmendments(P.L.92-630)-1972Zimmer(1973)HistoryJointCommissiononAccreditationofHospital(JCAH)-1976JointCommissiononAccreditationofHealthCareOrganization(JCAHO)AmericanNurses’Association

7、(1977)QualityAssuranceinNursing:ASelectedBibliography(1980)HistoryDRG(DiagnosisRelationGroup)PatientClassificationSystemsCost四、理論架構MedicalConceptualFramework:DonabedianNursingConceptualFrameworkSuchmanEvaluationModelPhaneufAuditModelRushMedicusModelAmericanN

8、urses’AssociationModel(ANA)TheQualityAssuranceCostEfficiencyRiskStaffModel(QUACERS)CONCEPTUALFARMWORKMedicalConceptualFrameworkDonabedian1.Structure,Process,Outcome2.Technicalcare,ArtofCare,3.Te