QI 활동의 개념과 필요성 이해 - gie.or.kr

1 The Korean Journal of Gastrointestinal Endoscopy Room C . QI .. QI . Definition and Necessity of QI Activity Yoon-Hee Cho Officer for Quality Improvement, Gangnam Severance Hospital, Yonsei University, Seoul, Korea .. 1993 1 . 2.. 2011 .. , . 2009 , .. 3.. 80% . (2008 OECD (NGO) . health Data).. , 1.. 1) (Quality) : .. , , , .. Donabe- dian . 1.. 2005 , .. Vol. 41 (Suppl 2), 2010 (179-182) 179. QI .. 2) .. (1) QA (Quality Assurance): .. , ( ) .. 1990 QI (Quality Im- . provement) . 3) : . (2) TOM/CQI (Total Quality Management/Continuous.

2 Quality Improvement): TQM/CQI .. , (Donabedian, 1985).. , . 2. , , . 1) (Effectiveness): . , , , . ( , , , ) , .. , 4. CQI.. 1) : . 2) (Efficiency): . , .. 3) (Safe): (patient safety) CQI .. CQI . 4) (Patient-centered): .. , .. , .. , .. 5) (Equity): (1) CQI .. - (Good quality care). - (Increase patient satisfaction). 3. - (Concurrent risk identification). 1) : , - (Decrease infection rate).. - (Increase documentation). , , - (Cost effective).. - (Appropriate resource allocation). (accreditation).

3 (2) QI . (1) : - (Utilization management). - (Quality management).. - (Risk management). (2010) - (Infection control).. - (Nutrition management). 2) : - (Medical record). 2) : 85% , 180 The Korean Journal of Gastrointestinal Endoscopy QI .. 15% . Deming TQM .. Berwick (1990) 2) (Brainstorming): .. (1) .. (2) - . 5 15 . (3) .. (4) (COPQ: cost of poor quality). 3) (Cause-and-effect/fishbone diagram): (5) . , . (6) .. (7) . (1) 4M: Manpower ( ), Machine ( ), Methods ( . (8) . ), Materials ( ). (9) (2) 4P: Policies ( ), Procedures ( ), People ( ).

4 Plant ( ). 4) (Flowchart): . 5. (Process) . (Focus-PDCA cycle) . CQI PDCA (Plan-Do-Check-Act) cy- . cle CQI , . (HCA: Hospital Corporation of .. America) (1989) FOCUS-PDCA cycle .. 1) FOCUS - PDCA . (1) F (Find): . (2) O (Organize): . (3) C (Clarify): , . (4) U (Understand): QI .. (5) S (Select): .. (6) P (Plan): .. (7) D (Do): , , .. (8) C (Check): , .. (9) A (Act): .. , . 6. , . CQI . , .. QI .. , CQI . 1) (Nominal group technique): , . ( ) . CQI . Vol. 41 (Suppl 2), 2010 (179-182) 181. QI.

5 , .. 1.. , 24 . CQI '. 2008:11-25. 2.. 2. QA.. QI / .. QI QA 2008:91.. 3.. QI . 2010. 4. QI . QI . 2002.. 5. QI . QI . 2010. , . 182 The Korean Journal of Gastrointestinal Endoscopy