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A Systematic Narrative Review of Quality Improvement Models in Health Care

A. E. Powell

出版	NHS Quality Improvement Scotland, 2009
ISBN	18440452429781844045242
URL	http://books.google.com.hk/books?id=PXbcjwEACAAJ&hl=&source=gbs_api

註釋

"In 2008, NHS Quality Improvement Scotland (NHS QIS) commissioned a systematic narrative review on quality improvement from Dr Alison Powell, Dr Rosemary Rushmer and Professor Huw Davies at the Social Dimensions of Health Institute at the Universities of Dundee and St Andrews. The report presents the five major categories of model first used in industry. It shows that there is almost no traditional experimentation associated with the models and there is absence of evidence on costs, but lots of rich data. The models show both a number of differences (in terms of pace and scope of change, focus of change activities and enabling or mandating improvement), but also similarities (in terms of objectives, tools and implementation approach). This means that a clear cut taxonomy is neither feasible nor useful and it is impossible to identify a single 'right' model. A number of necessary but not sufficient conditions for successful implementation of quality improvement initiatives are presented"--NHS Scotland.