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医疗机构评审联合委员会国际部(Joint Commission International,JCI)标准是全世界公认的医疗质量和服务评价标准,代表了医院的服务和管理水平。最新修订的第5版JCI标准对我国医院建立规范化、流程化、科学化和国际化的管理体系,实现医院持续质量改进,保证患者安全,提高患者满意度具有重要借鉴意义。 相似文献
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通过对JCI认证的理念、认证的特点和评审标准的充分理解和体会,分析了JCI认证对我国医院管理和医疗质量提高的积极促进作用,同时也指出医院在认证过程中存在的问题,为医院真正实现JCI认证的目的提供建议。 相似文献
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引进JCI认证标准(Joint Commission Intemational国际医疗卫生机构认证联合委员会),使医疗影像设备管理从结构导向到结果导向转变。当今传统的管理评审标准:结构、过程、结果这一程序来讲,最关注的是结构,如设备的故障率、检查病人次数、单机收入等,但JCI的理念认为应该关心的是结果,是安全、质量、整体绩效,这是一个从结构为中心的导向转为以结果为中心、以病人为中心的导向。对任何可能产生的风险都要提前考虑预警,更具前瞻性。学习这一国际先进医院管理体系,改进医疗影像设备管理系统,抓好医疗影像设备的管理,提升医院医疗服务质量。让医疗影像设备在医疗工作中充分发挥作用,提高社会效益和经济效益。 相似文献
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对JCI评审模式下的医院质量监控指标体系及运作构架进行了探索,采用委员会—工作小组—质量管理办公室-指标负责科室四级指标管理组织架构,明确权责分工,建立多部门沟通协作的工作模式,利用质量管理办公室质量内审的角色,能够有效推动监控指标持续改进,提升医院质量。 相似文献
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Barbara Barrett Waquas Waheed Simone Farrelly Max Birchwood Graham Dunn Clare Flach Claire Henderson Morven Leese Helen Lester Max Marshall Diana Rose Kim Sutherby George Szmukler Graham Thornicroft Sarah Byford 《PloS one》2013,8(11)
Background
Compulsory admission to psychiatric hospitals may be distressing, disruptive to patients and families, and associated with considerable cost to the health service. Improved patient experience and cost reductions could be realised by providing cost-effective crisis planning services.Methods
Economic evaluation within a multi-centre randomised controlled trial comparing Joint Crisis Plans (JCP) plus treatment as usual (TAU) to TAU alone for patients aged over 16, with at least one psychiatric hospital admission in the previous two years and on the Enhanced Care Programme Approach register. JCPs, containing the patient''s treatment preferences for any future psychiatric emergency, are a form of crisis intervention that aim to mitigate the negative consequences of relapse, including hospital admission and use of coercion. Data were collected at baseline and 18-months after randomisation. The primary outcome was admission to hospital under the Mental Health Act. The economic evaluation took a service perspective (health, social care and criminal justice services) and a societal perspective (additionally including criminal activity and productivity losses).Findings
The addition of JCPs to TAU had no significant effect on compulsory admissions or total societal cost per participant over 18-months follow-up. From the service cost perspective, however, evidence suggests a higher probability (80%) of JCPs being the more cost-effective option. Exploration by ethnic group highlights distinct patterns of costs and effects. Whilst the evidence does not support the cost-effectiveness of JCPs for White or Asian ethnic groups, there is at least a 90% probability of the JCP intervention being the more cost-effective option in the Black ethnic group.Interpretation
The results by ethnic group are sufficiently striking to warrant further investigation into the potential for patient gain from JCPs among black patient groups.Trial Registration
Current Controlled Trials ISRCTN11501328 相似文献13.
本文系统地介绍了灾难及突发事件住院信息管理系统的建设构想。从研发目的、意义、系统功能需求、结构和特点,五个方面进行了详细的阐述,旨在为相关的医院信息化、卫勤管理、医疗服务工作提供思路,为下一步研发应用该系统做准备,促进灾害和突发事件医疗信息化建设。 相似文献
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