Transcription of 持續性品質改善 - chimei.org.tw
1 Continuous Quality Improvement CQI VS PDCA Plan -Do -Check -Action CQI (RePDCA) RCA Severity Assessment Code (SAC) Matrix FMEA x x : RPN TQM QCC .. TRM Leadership Communication Situation Monitoring Mutual Support PDCA? ? .. ? ?.. ?.. ? PDCA ??? Deming Cycle PLAN: DO CHECK ACTION RePDCA PDCA Standardzation Do Check Action,SDCA Cycle Continuous Quality Improvement CQI ( ,QUALUTY ASSURANCE) PDCA * * * * * JCAHO JCAHO ( ) ( ) (Assign Responsibility) ( ) (Delineate Scope of Care) ( ) (Identification of Important Aspect of Care) ( ) (Identify Indicators) ( ) ( ) (Establish A Means to Tagger Evaluation) (Thresholds)
2 ( + ) ( ) (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 ( ) (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 15 16 17 ~ CQI A A+!
3 ~ !! 18 19 2008 11 21 Plan Do Check Action RePlan RePlan ? Plan ( ) X X X Do X X 3.. do Plan Check 1. ( ) 2. 3. 4. ( ) Action RePlan 1. XX 2. XX 3. ? RePlan ? ? ( ) X X X
