Achievements with quality improvement in the NHS.
نویسنده
چکیده
This paper examines achievements in quality improvement in health care. It is not intended to be a comprehensive overview, rather to provide a brief description of how concepts of quality improvement have been used in nursing, to give examples of quality improvement in practice, and to highlight factors which need to be considered before achievements can occur. On a bad day my definition of quality improvement reflects the sentiments of Denis Healey, who said that problems are never solved, merely altered.' This, somewhat cynical, view perhaps reflects the experiences of many practitioners rather than the more well known rallying calls of the quality gurus. But on reflection, quality improvement rarely guarantees end points or solutions. It, too, emphasises the importance of movement towards a desired state, something which depends on common goals, and people working together, trusting one another, valuing contributions, and having the right information to make decisions. Achievements with quality improvements therefore will manifest themselves as much in changes in behaviour, attitudes, and communications as in actual clinical practice. However, five years' experience working with the Royal College of Nursing's Dynamic Quality Improvement Programme has taught quality improvement is fragile and often elusive. It cannot be prescribed or conscripted into an organisation; its presence is more likened to work of the spirit than the application of the law.
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عنوان ژورنال:
- Quality in health care : QHC
دوره 3 Suppl شماره
صفحات -
تاریخ انتشار 1994