Methods to Increase Reliability in Quality Improvement Projects

被引:1
作者
Lenk, Mary Anne [1 ]
LaMantia, Susan [1 ]
Oehler, Jennifer [1 ]
Spencer, Dwayne [1 ]
Sosa, Tina [2 ,3 ,4 ]
机构
[1] Cincinnati Childrens Hosp Med Ctr, James M Anderson Ctr Hlth Syst Excellence, 3333 Burnet Ave, Cincinnati, OH 45229 USA
[2] Golisano Childrens Hosp, Div Pediat Hosp Med, Rochester, NY USA
[3] Univ Rochester, UR Med Qual Inst, Med Ctr, Rochester, NY USA
[4] Univ Rochester, Sch Med & Dent, Dept Pediat, Rochester, NY USA
关键词
CARE;
D O I
10.1542/hpeds.2023-007340
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Although many quality improvement initiatives in health care see early and laudable success, 1 of the greatest challenges is sustaining the gains and avoiding the natural tendency of systems to revert to their original state, function, and outcomes. Reliability science describes a mathematical and systematic framework for understanding the level of reliability of interventions, and therefore the anticipated success and failure rate of both the steps of a process and the cumulative process overall. Successful utilization of this framework, along with the mindful organizing principles of high-reliability organizations, will facilitate ongoing and long-lasting improvement in outcomes. In this article, we describe practical methods to increase the reliability of interventions toward achieving and sustaining improvement goals.
引用
收藏
页码:e372 / e377
页数:6
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