中国循证医学杂志

中国循证医学杂志

基于证据的持续质量改进模式图的构建

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目的 构建基于证据的持续质量改进模式图,为护理人员开展证据转化、促进临床护理质量持续改进提供框架和方法。 方法 对国内外循证中心完成的证据应用项目及在国内外核心期刊发表的证据应用论文进行项目和文献分析,以 PDCA 循环原则作为指导,遵循循证理念和业务流程管理思路,构建基于证据的持续质量改进模式图。 结果 基于证据的持续质量改进模式图由四个阶段,12 个步骤构成,以流程的方式阐述了针对临床实践中的问题,从证据获取、现状审查、证据引入到效果评价的过程,并通过对证据应用后的效果评价,对存在的问题转入下一个循环的动态循证实践过程。 结论 基于证据的持续质量改进模式图为护理人员开展循证实践提供了框架,并为证据本土化应用提供了有效的途径和方法。

Objective This study was to develop a framework of evidence-based continuous quality improvement and provide a framework for nursing professionals to promote evidence transfer and clinical nursing quality improvement. Methods Guided by the principles of PDCA, evidence-based nursing and work process, a framework of evidence-based quality continuous improvement was established through a citation analysis of evidence implementation related projects and literatures. Results The framework of evidence-based continuous quality improvement consisted of four stages and twelve steps, including evidence searching, practice audit, evidence implementation and outcome evaluation, and then it would turn to next cycle. Conclusion The framework of evidence-based continuous quality improvement provides nursing professionals a concept and method of promoting evidence into practice and promoting clinical nursing quality improvement.

关键词: 循证护理; 证据应用; 模式图; 持续质量改进

Key words: Evidence-based nursing; Evidence implementation; Framework; Continued quality improvement

引用本文: 周英凤, 胡雁, 顾莺, 朱政, 邢唯杰. 基于证据的持续质量改进模式图的构建. 中国循证医学杂志, 2017, 17(5): 603-606. doi: 10.7507/1672-2531.201611090 复制

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