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1、邁入二十一世紀(jì) 護(hù)理資訊科技創(chuàng)新與品質(zhì)提升(二)大綱護(hù)理行政趨勢(shì)護(hù)理資訊科技的發(fā)展過去、現(xiàn)在及未來品質(zhì)與生產(chǎn)力的無限提升創(chuàng)新的觀念與實(shí)際應(yīng)用資訊科技品質(zhì)與創(chuàng)新整合結(jié)論一、品質(zhì)的定義品=?+?+?品字為三個(gè)口組成，表示產(chǎn)品的好壞是決定於眾人的議論，而非決定於某一個(gè)人的喜愛質(zhì)=斤+斤+貝要斤斤計(jì)較產(chǎn)品的價(jià)格品質(zhì)品質(zhì)兩字合起來，顧名思義是指產(chǎn)品的特質(zhì)，而這個(gè)特質(zhì)的評(píng)鑑是基於大多數(shù)人的意見及在某特定價(jià)格下所訂出的標(biāo)準(zhǔn)。『品質(zhì)』是一種快樂、滿足感，甚至是成就感品質(zhì)是顧客的滿意 創(chuàng)新與卓越品質(zhì)是人、事、物一切的品質(zhì)，是生產(chǎn)
2、力的提升好的品質(zhì)一切工作都很順暢，有效率有效果。一、護(hù)理品質(zhì)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(zhì)有關(guān)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(zhì)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(gòu)MedicalConceptualFramework:DonabedianNursingConceptualFrameworkSuchmanEvaluationModelPhaneufAuditModelRushMedicusModelAmericanN
8、urses’AssociationModel(ANA)TheQualityAssuranceCostEfficiencyRiskStaffModel(QUACERS)CONCEPTUALFARMWORKMedicalConceptualFrameworkDonabedian1.Structure,Process,Outcome2.Technicalcare,ArtofCare,3.Te
