Transcription of 指標管理 - chimei.org.tw
1 Indicators / index / norm / quota / target ? (Quantitative measure) (Nadzam et. al. 1993) JCAHO (screen) (flags) (Decker & Sprouse 1992) JCAHO JCAHO ( ) ( ) (Assign Responsibility) ( ) (Delineate Scope of Care) ( ) (Identification of Important Aspect of Care) ( ) (Identify Indicators) ( ) ( ) (Establish A Means to Tagger Evaluation) (Thresholds) ( + ) ( ) (Collect and Organized Data) ( ) (Initiate Evaluation) ( ) ( ) (Take Action to Solve Problems) ( ) ( ) (Access effectiveness of Actions and assure improvement is maintained) + ( ) (Communication) TRM( ) Joint Commission on Accreditation of Healthcare Organization Joint Commission JCAHO 1991 1988 JCAHO(1991 1988) ( ) JCAHO ( )
2 (Assign Responsibility) ( ) (Delineate Scope of Care) ( ) (Identification of Important Aspect of Care) (high-volume) (high-risk) (ProblemProne) ( ) (Identify Indicators) (Quantitative Measure) ( ) (Establish A Means to Tigger Evaluation) (Thresholds) ( ) (Collect and Organized Data) ( ) (Initiate Evaluation) ( ) (Take Action to Solve Problems) ( ) (Access effectiveness of Actions and assure improvement is maintained) ( ) (Communication) JCAHO ( ) A: A: C: C: 5 B: C B: : : B A : A.
3 - ? (threshold) ( ) ? ? Managing Quality: A Guide to Monitoring and Evaluating Nursing Services Hardcover, 250 pages, release 1992-01 Authors: Eleanor Green, Jacqueline Katz Manufacturer: Mosby-Year Book ISBN: 080162620X (1) (2) (3) 30 ( ) +1 +2 +3 (4) (5) - ( ) 99 ( ) 100 85% 7-12 100 12 * 10001 10002 10003 10004 10005 10006 10007 10008 10009 10010 10011 10012 99 100 100 100 -SPC 48 UCL = LCL = (sigma)= P chart * = +1 +2 +3 n=1 n>1 I chart Xbar-S Xbar-R n P chart n C chart n U chart ( 0 1 )
4 T chart I- MR U Chart Skyline SPC - THIS- TCPI- TNIS- - - - TPR- - EPINet - - 101 1. 2. 3. 17 18 19 - RT / 20 / / / 101 TCPI - 21 101 2 25 - - 22 1.
5 2. ( .. ) 3. KPI ( ) 23 .. 1. 2. 3. (KPI) 24 PS 25 (1) (2) (3) (4) (5) 27 28 - 29 1. 2. / ( ) 3. - 30 (1) (2) (3) 30 ( ) +1 +2 +3 (4) * - 31 (1) (2) (3) (4) (5) - 32 - 33 * !
6 ! * !! * !! * .. 101 12 102 102 1 102 2 .. 34
