A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement.
Am J Med Qual
; 33(4): 413-419, 2018 07.
Article
em En
| MEDLINE
| ID: mdl-29183149
ABSTRACT
Payers, providers, and patients increasingly recognize the importance of quality and safety in health care. Academic Departments of Medicine can advance quality and safety given the large populations they serve and the broad spectrum of diseases they treat. However, there are only few detailed examples of how quality and safety can be organized. This article describes a practical model at The Johns Hopkins Hospital Department of Medicine and details its structure and operation within a large academic health system. It is based on a fractal model that integrates multiple smaller units similar in structure (composition of faculty/staff), process (use of similar tools), and approach (using a common framework to address issues). This organization stresses local, multidisciplinary leadership, facilitates horizontal connections for peer learning, and maintains vertical connections for broader accountability.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Centros Médicos Acadêmicos
/
Melhoria de Qualidade
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Segurança do Paciente
Tipo de estudo:
Etiology_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article