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WhatisJCI?何謂JCI?

JCIisaninternationalaccreditationarmofJCAHO(JointCommissiononAccreditationofHealthCareOrganisations)JCI是JCAHO屬下一個國際醫(yī)療機(jī)構(gòu)素質(zhì)認(rèn)證的支部40hospitalsareaccreditedwithJCIacross11othercountries(1inThailand,1inPhilippines,1inChina)全球另有40間醫(yī)院已受JCI認(rèn)證,遍布11個國家(包括1間在泰國、1間在菲麗濱、1間在中國)5000UShospitals(96%ofbedcapacity)areaccreditedwithJCAHO五千間美國醫(yī)院(96%的床位)已受JCAHO認(rèn)證JCAHOisdedicatedtoimprovingclinicalqualityandpatientsafetyJCAHO意志改進(jìn)醫(yī)療素質(zhì)和病人安全水平WhatisJCI?JCIisaninternaJCIStandardHingesOn2BroadAreas:

JCI標(biāo)準(zhǔn)視以下兩大方面而定:Equivalent&ComplementsISOstandards與ISO標(biāo)準(zhǔn)相似并互補(bǔ)Patient-centredStandards

以病人為中心的標(biāo)準(zhǔn)HealthOrganisationMgmtStandards

醫(yī)療機(jī)構(gòu)管理的標(biāo)準(zhǔn)JCIStandardHingesOn2Broad368

Standards標(biāo)準(zhǔn)197

CoreStandards核心標(biāo)準(zhǔn)AboutJCIStandards有關(guān)JCI標(biāo)準(zhǔn)1032

MeasurableElements可衡量元素MustMeetallCoreStandards

必定要達(dá)到所有核心標(biāo)準(zhǔn)197AboutJCIStandards1032AboutJCIStandards有關(guān)JCI標(biāo)準(zhǔn)Patient-CenteredStandards以病人為中心的標(biāo)準(zhǔn)

Accesstocareandcontinuityof care(ACC)

能享有醫(yī)護(hù)和連續(xù)性的醫(yī)護(hù)

PatientandFamilyRights(PFR)

病人及家屬的權(quán)利

AssessmentofPatient(AOP)

診斷病情

CareofPatients(COP)

醫(yī)治及護(hù)理病人

PatientandFamilyEducation(PFE)

教育病人及家屬HealthOrganizationMgmtStandards醫(yī)療機(jī)構(gòu)管理的標(biāo)準(zhǔn)

Qualityimprovementandpatientsafety (QPS)

素質(zhì)改進(jìn)及病人安全

Preventionandcontrolofinfections(PCI)

預(yù)防及控制傳染

Governance,leadership,anddirection (GLD)

管理、領(lǐng)導(dǎo)和引導(dǎo)方向

Facilitymanagementandsafety(FMS)

設(shè)施管理和安全

Staffqualificationsandeducation(SQE)

職員的資歷和教育

Managementofinformation(MOI)

咨汛管理AboutJCIStandardsPatient-CWhyJCIforNUH?

為什么本院追求JCI品質(zhì)認(rèn)證?CommitmentToEnhance:承諾加強(qiáng):PatientSafety病人的安全Co-ordinationofCare護(hù)理的協(xié)調(diào)WhyJCIforNUH?

為什么本院追求JCI品質(zhì)認(rèn)ContinuityofCare連續(xù)性的醫(yī)護(hù)Patient&FamilyRights病人及家屬的權(quán)利Patient&FamilyEducation教育病人及家屬Q(mào)ualityImprovement&PatientSafety素質(zhì)改進(jìn)及病人安全Prevention&ControlofInfections預(yù)防及控制傳染ManagementofInformation咨汛管理StaffQualifications&Education職員的資歷和教育FacilityManagement&Safety設(shè)施管理和安全Governance,Leadership&Direction管理、領(lǐng)導(dǎo)和引導(dǎo)方向UsingJCItoManage&ImproveClinicalCare利用JCI標(biāo)準(zhǔn)來管理和改善醫(yī)療護(hù)理AssessmentofPatients診斷病情CareofPatients醫(yī)治及護(hù)理病人AccesstoCare能享有醫(yī)護(hù)Billing&Discharge開給賬單和出院Clinical醫(yī)護(hù)Medical醫(yī)療Nursing護(hù)理ClinicalSupport醫(yī)護(hù)輔助Services服務(wù)PatientServices病人服務(wù)FinancialServices財(cái)務(wù)服務(wù)EnvironmentalServices環(huán)境設(shè)備服務(wù)FoodServices膳食服務(wù)PatientServices病人服務(wù)FinancialServices財(cái)務(wù)服務(wù)Patient-CenteredStandards以病人為中心的標(biāo)準(zhǔn)HealthCareOrganizationManagementStandards醫(yī)療機(jī)構(gòu)管理的標(biāo)準(zhǔn)Appointment預(yù)約Marketing促銷Registration登記Admission入院UsingJCItoManage&ImproveJCIProvidesAFramework…

JCI提供一個結(jié)構(gòu)框架…JCIrequirementsprovidetheframeworktostrengthenpatientcareprocessesandthemanagementstructurerequiredtosustainexcellenceinstandardsofcare.JCI的要求為加強(qiáng)病患護(hù)理的程序及維持管理架構(gòu)所需的杰出護(hù)理標(biāo)準(zhǔn)提供基礎(chǔ)框架。JCIProvidesAFramework…

JCIHowJCIsitsinNUH’soverallFramework?

JCI

如何融入本院的整體結(jié)構(gòu)框架?SystemsFramework體系框架ContinualImprovement持續(xù)改進(jìn)ImproveCare&LowerCosts改進(jìn)護(hù)理并減低成本Quality素質(zhì)認(rèn)證ISO9001Health&Safety衛(wèi)生和安全素質(zhì)認(rèn)證OHSAS18001People人力資源素質(zhì)認(rèn)證PDS&PeopleExcellenceReduceHealth&SafetyRisks減低對健康及安全的威脅SingaporeQualityFramework新加坡素質(zhì)認(rèn)證框架S’poreQualityClass新加坡素質(zhì)認(rèn)證等級COREVALUES核心價(jià)值觀Clinical,Process&ServiceExcellence卓越的醫(yī)療護(hù)理、流程及服務(wù)BalancedScorecard平衡記分卡HighLevelOutcomes高層績效OrganisationalExcellence機(jī)構(gòu)優(yōu)異表現(xiàn)Environment環(huán)境素質(zhì)認(rèn)證ISO14001CPIP,6Sigma&IQCProjectsCPIP,6Sigma&IQC項(xiàng)目Learning&Growth學(xué)習(xí)與成長Service服務(wù)Process流程Clinical醫(yī)療護(hù)理Quality,Environmental,Health&SafetyManagementSystemsCulture,Systems&Tools素質(zhì),環(huán)境,健康和安全管理系統(tǒng)文化,體系及工具JCIAccreditationJCI素質(zhì)認(rèn)證MISSION&VISION使命及遠(yuǎn)景PeopleExcellence杰出人力資源LearningEnvironment學(xué)習(xí)環(huán)境Quality&Cost-EffectiveCare&Service優(yōu)質(zhì)及經(jīng)濟(jì)效益的護(hù)理和服務(wù)SocialResponsibilitytoEnvironment&Community對環(huán)境及社區(qū)承擔(dān)的社會責(zé)任SafeWorkEnvironmentforStaff&Patients為員工和病人提供安全的工作環(huán)境Reduce,Reuse&RecycleResources&Waste減少、再用和再循環(huán)資源及廢棄物HowJCIsitsinNUH’soverallOurJCIJourney

我們邁向JCI的歷程JCI專家到訪20032004Publicise,Awareness,Documentation&Implementation宣傳,提高意識,文件筆錄及貫徹完成Phase1第一階段Phase2第二階段Phase3第三階段OctoberNovemberDecemberJanuaryFebruaryMarchtoAprilMaytoJuneJuly十月十一月十二月一月二月三至四月

五至六月

七月RoadShows路展NewMOs新的醫(yī)療人員SelfAssessmentIdentifyGapsBridgeGapsJCIExpertVisitJCI專家到訪SelfAudit,Review&ImplementationRoadshows路展Survey自我評估認(rèn)識差距彌補(bǔ)差距自我審計(jì)、評審及貫徹完成調(diào)查Workshop&MockSurveyCompletionofDocumentation實(shí)習(xí)班及模擬調(diào)查完成文件的紀(jì)錄OurJCIJourney

我們邁向JCI的歷程JCIOverviewofJCISurveyProcess

縱觀JCI評審調(diào)查過程ContinuousQualityImprovement持續(xù)的素質(zhì)改進(jìn)InitialReviewofCoreStandards初始評審核心標(biāo)準(zhǔn)IdentifyGaps辨別差距CloseGapswithInputsfromJCIChampions從JCI得主吸取經(jīng)驗(yàn)彌補(bǔ)差距RepeatReviewofCoreStandards多次評審核心標(biāo)準(zhǔn)ImplementStrategiestoImproveWorkProcess實(shí)行策略改進(jìn)工作程序OverviewofJCISurveyProcessQualityImprovementFramework

素質(zhì)改進(jìn)的結(jié)構(gòu)框架SentinelEventsegsurgicalmishaps,ADEsFrequentAdverseEventsegTransfusionreactions,nosocomialinfections,falls,medicationerrors,pressureulcersNearMissesegmislabelling,prescription&administrationofdrugsUnderuse,Overuse,MisuseSentinelEventReview/RootCauseAnalysisDETECTION覺察IMPROVEMENT改進(jìn)ReviewbyQA/PeerReviewCommittees(egInfectionControl&BloodTransfusionCommittees)ANALYSIS分析MonitorandEvaluateChange No-faultreporting(eHOR) ClinicalReviewProgram (Chartreviews) PatientFeedback/Survey CasemixData ClinicalAuditStrategiesforImprovement

ClinicalPracticeImprovementProgramme(CPIP)CollaborativeProjects(egVentilatorBundles)QAProgrammes(egQIP&ACHSIndicators)ProcessImprovements(egQualityCircles,6Sigma,WorkRedesign)REPORT&SPREADCHANGEMANAGEMENT改變管理ClinicalOutcomesTrackingSystem

NHG2004Annex2(RefertoNUH-HAP-QIU-003–NUHQI&PSPlanAnnex2)QualityImprovementFramework

ExamplesofJCIInitiatives

提倡JCI措施的例子ExamplesofJCIInitiatives

提倡PatientInfoBrochure

病人訊息小冊子PatientRights&ResponsibilitiesLeafletavailableatallSOCs,WardsandEMD在所有診所、病房和急診部展放有關(guān)病人權(quán)利和責(zé)任的小冊子PatientInfoBrochure

病人訊息小冊子PPatientEducation教育病人A

healthinformationandresourcecentreforpatientsandvisitors…OurPatientEducationHub醫(yī)學(xué)健康常識中心–

為病人和訪客提供健康資訊和常識PatientEducationAhealthinfoWeCareForOurPatients…Aspartofourpatienteducationefforts,posterson‘5StepsToSaferHealthcare’aredisplayedinourliftnoticeboards,wardsandclinics/centres.Throughthis,wekeepourpatientsinformedoftheirrolesinhelpingtoachievethesafestandbestpossiblemedicalcareandtreatment.AJCIInitiative在電梯里,病房里和診所里的布告版占卦教育病人的“五步安全醫(yī)護(hù)”海報(bào),借此灌輸病人如何協(xié)助達(dá)到最安全和最佳的醫(yī)護(hù)和醫(yī)療。WeCareForOurPatients…AspaWritingnamesofdrugscorrectlyforpatientsafety使用正確的藥物名稱,提高病人安全水準(zhǔn)。WritingnamesAttentionallHealthcareProfessionals!PUTONPROTECTIVEBARRIERS,MINIMISEYOURRISKOFINFECTION!ShortcutstoSAFETYcancutshortyourlife!PutonappropriateprotectivebarriersinaccordancetotheSARSAlertLevelsorInfectionControlGuidelinesandwhenthereiscontactorriskofcontactwithbloodorbodyfluids.Protectivebarriersreducetheriskofexposuretopotentiallyinfectivematerial.

Youshouldwear:Gloves

toprotectskinonhandsMask

toprotecttheskinandmucosaonthefaceandtoreduceriskduetoinhalationofinfectivematerialGogglesorface-shield

toprotectskin,eyesand/ormucosaonthefaceGownand/orplasticapron

whensplashesarelikelytooccur.減少感染,工作時應(yīng)穿戴適當(dāng)?shù)谋Wo(hù)裝備如:手套、面罩、眼罩和外套!AttentionallHealthcareProfeAttentionallHealthcareProfessionals!MINIMISEYOURRISKOFINFECTIONOnesharpinjurycouldchangeyourlife.Preventthisfromhappeningto

YOU!DonotrecapneedlesDiscardsharpsintothe“Sharp”boxpersonally

Maintainasafeworkingdistancewhenyour colleagueishandlingsharpsDonotpasssharpsfromhandtohand減少感染,小心和適當(dāng)?shù)奶幚磲橆^!減少感染,小心和適當(dāng)?shù)奶幚磲橆^!AttentionallHealthcareProfePainAssessment疼痛評估 Allpatientswillbe assessedforpain

為所有病人進(jìn)行疼痛評估

Assessmentwillbedone everyshift/asandwhen required

在每個輪班或有需要時才 進(jìn)行 Informdoctorsif patient complainsofpain

通知醫(yī)生如果病人告知身體 疼痛

Findingswillbemonitoredas5thvitalsign intheclinicalchart調(diào)查結(jié)果將列為第五個至關(guān)重要的標(biāo)志,在臨床圖表上觀察。PainAssessment疼痛評估 AllpatiStaffEmergencyInfoCard

職員的緊急意外電話號碼卡AllstaffcarryanEmergencyInformationCardwithimportantnumberstocallforvariousemergencies.所有職員都攜帶一張緊急意外電話號碼卡Front前Back后StaffEmergencyInfoCard

職員的緊ClinicalPracticeImprovementProgram–

AModelforImprovement

臨床實(shí)踐改進(jìn)項(xiàng)目模式Act行動Plan策劃Study研究Do實(shí)踐Whatarewetryingtoaccomplish?Howwillweknowthatachangeisanimprovement?Whatchangescanwemakethatwillresultinanimprovement?CliniciansdrivingimprovementprojectstoimproveClinicalProcesses&Outcomes醫(yī)療人員推行改進(jìn)項(xiàng)目為改善臨床程序和效果ClinicalPracticeImprovementJCIAccreditationinvolveshardwork,sweat,arguments,toughdecisions…ButitisWORTHIT!取得JCI品質(zhì)認(rèn)證需要勤勞地工作、汗水、探討、堅(jiān)強(qiáng)的意志…但這些都是值得的!JCIAccreditationinvolveshar

Ajourneytakentogether一個共同奮斗的歷程Betweenprofessionalgroups專業(yè)小組之間Amongprofessionals專家之間

Cross-learning/dialogue相互學(xué)習(xí)/對話

Workingasateamforpatients’interest發(fā)揮團(tuán)隊(duì)精神,以病人的利益為主ValueofJCIJCI的價(jià)值觀AjourneytakentogetherValueTopleadershipcommitment(CEO&CMB)-MustBelieveInIt!高層領(lǐng)導(dǎo)者的承諾(CEO&CMB)-堅(jiān)定的信念!Leader-driven(esp.Clinician&Nursing)領(lǐng)導(dǎo)帶頭(尤其是醫(yī)師及護(hù)理人員)Activeinvolvementofdoctors/nursesthroughJCIClinicianCoreGroup&NursingChampions通過JCI臨床核心組及看護(hù)得主讓醫(yī)生/護(hù)士積極參與

Awareness&Communication(handbook,emails,intranet,posters,briefings,dailylogons)意識及溝通(筆記、電郵、企業(yè)網(wǎng)、海報(bào)、會議、‘電腦訊息’)JustdoIT!(Fightagainsttemptationtoprocrastinate…)現(xiàn)在就做!(決不拖延…)Persevere….堅(jiān)持….SomeLessons…經(jīng)驗(yàn)之談…Topleadershipcommitment(CE

JCIAccreditationisnotanendnorastatementthatanorganisationhasarrived!JCI品質(zhì)認(rèn)證對一個機(jī)構(gòu)而言既不是終點(diǎn)也不是一份聲明!

ItisthebeginningofacommitmenttomakehealthcareSAFER,Better,Faster&Cheaper…它是對更安全、優(yōu)質(zhì)、快捷及經(jīng)濟(jì)的醫(yī)療護(hù)理的承諾的一個開始…Itisanon-goingjourney….這是一個持續(xù)不斷的旅程….Conclusion總結(jié)JCIAccreditationisnotaneMeasurableOutcomes能衡量的結(jié)果Clinicaloutcomes臨床效果$$$$$$PatientSatisfaction病人滿意指數(shù)MeasurableOutcomesClinicalouThankYou謝謝ThankYouWhatisJCI?何謂JCI?

JCIisaninternationalaccreditationarmofJCAHO(JointCommissiononAccreditationofHealthCareOrganisations)JCI是JCAHO屬下一個國際醫(yī)療機(jī)構(gòu)素質(zhì)認(rèn)證的支部40hospitalsareaccreditedwithJCIacross11othercountries(1inThailand,1inPhilippines,1inChina)全球另有40間醫(yī)院已受JCI認(rèn)證,遍布11個國家(包括1間在泰國、1間在菲麗濱、1間在中國)5000UShospitals(96%ofbedcapacity)areaccreditedwithJCAHO五千間美國醫(yī)院(96%的床位)已受JCAHO認(rèn)證JCAHOisdedicatedtoimprovingclinicalqualityandpatientsafetyJCAHO意志改進(jìn)醫(yī)療素質(zhì)和病人安全水平WhatisJCI?JCIisaninternaJCIStandardHingesOn2BroadAreas:

JCI標(biāo)準(zhǔn)視以下兩大方面而定:Equivalent&ComplementsISOstandards與ISO標(biāo)準(zhǔn)相似并互補(bǔ)Patient-centredStandards

以病人為中心的標(biāo)準(zhǔn)HealthOrganisationMgmtStandards

醫(yī)療機(jī)構(gòu)管理的標(biāo)準(zhǔn)JCIStandardHingesOn2Broad368

Standards標(biāo)準(zhǔn)197

CoreStandards核心標(biāo)準(zhǔn)AboutJCIStandards有關(guān)JCI標(biāo)準(zhǔn)1032

MeasurableElements可衡量元素MustMeetallCoreStandards

必定要達(dá)到所有核心標(biāo)準(zhǔn)197AboutJCIStandards1032AboutJCIStandards有關(guān)JCI標(biāo)準(zhǔn)Patient-CenteredStandards以病人為中心的標(biāo)準(zhǔn)

Accesstocareandcontinuityof care(ACC)

能享有醫(yī)護(hù)和連續(xù)性的醫(yī)護(hù)

PatientandFamilyRights(PFR)

病人及家屬的權(quán)利

AssessmentofPatient(AOP)

診斷病情

CareofPatients(COP)

醫(yī)治及護(hù)理病人

PatientandFamilyEducation(PFE)

教育病人及家屬HealthOrganizationMgmtStandards醫(yī)療機(jī)構(gòu)管理的標(biāo)準(zhǔn)

Qualityimprovementandpatientsafety (QPS)

素質(zhì)改進(jìn)及病人安全

Preventionandcontrolofinfections(PCI)

預(yù)防及控制傳染

Governance,leadership,anddirection (GLD)

管理、領(lǐng)導(dǎo)和引導(dǎo)方向

Facilitymanagementandsafety(FMS)

設(shè)施管理和安全

Staffqualificationsandeducation(SQE)

職員的資歷和教育

Managementofinformation(MOI)

咨汛管理AboutJCIStandardsPatient-CWhyJCIforNUH?

為什么本院追求JCI品質(zhì)認(rèn)證?CommitmentToEnhance:承諾加強(qiáng):PatientSafety病人的安全Co-ordinationofCare護(hù)理的協(xié)調(diào)WhyJCIforNUH?

為什么本院追求JCI品質(zhì)認(rèn)ContinuityofCare連續(xù)性的醫(yī)護(hù)Patient&FamilyRights病人及家屬的權(quán)利Patient&FamilyEducation教育病人及家屬Q(mào)ualityImprovement&PatientSafety素質(zhì)改進(jìn)及病人安全Prevention&ControlofInfections預(yù)防及控制傳染ManagementofInformation咨汛管理StaffQualifications&Education職員的資歷和教育FacilityManagement&Safety設(shè)施管理和安全Governance,Leadership&Direction管理、領(lǐng)導(dǎo)和引導(dǎo)方向UsingJCItoManage&ImproveClinicalCare利用JCI標(biāo)準(zhǔn)來管理和改善醫(yī)療護(hù)理AssessmentofPatients診斷病情CareofPatients醫(yī)治及護(hù)理病人AccesstoCare能享有醫(yī)護(hù)Billing&Discharge開給賬單和出院Clinical醫(yī)護(hù)Medical醫(yī)療Nursing護(hù)理ClinicalSupport醫(yī)護(hù)輔助Services服務(wù)PatientServices病人服務(wù)FinancialServices財(cái)務(wù)服務(wù)EnvironmentalServices環(huán)境設(shè)備服務(wù)FoodServices膳食服務(wù)PatientServices病人服務(wù)FinancialServices財(cái)務(wù)服務(wù)Patient-CenteredStandards以病人為中心的標(biāo)準(zhǔn)HealthCareOrganizationManagementStandards醫(yī)療機(jī)構(gòu)管理的標(biāo)準(zhǔn)Appointment預(yù)約Marketing促銷Registration登記Admission入院UsingJCItoManage&ImproveJCIProvidesAFramework…

JCI提供一個結(jié)構(gòu)框架…JCIrequirementsprovidetheframeworktostrengthenpatientcareprocessesandthemanagementstructurerequiredtosustainexcellenceinstandardsofcare.JCI的要求為加強(qiáng)病患護(hù)理的程序及維持管理架構(gòu)所需的杰出護(hù)理標(biāo)準(zhǔn)提供基礎(chǔ)框架。JCIProvidesAFramework…

JCIHowJCIsitsinNUH’soverallFramework?

JCI

如何融入本院的整體結(jié)構(gòu)框架?SystemsFramework體系框架ContinualImprovement持續(xù)改進(jìn)ImproveCare&LowerCosts改進(jìn)護(hù)理并減低成本Quality素質(zhì)認(rèn)證ISO9001Health&Safety衛(wèi)生和安全素質(zhì)認(rèn)證OHSAS18001People人力資源素質(zhì)認(rèn)證PDS&PeopleExcellenceReduceHealth&SafetyRisks減低對健康及安全的威脅SingaporeQualityFramework新加坡素質(zhì)認(rèn)證框架S’poreQualityClass新加坡素質(zhì)認(rèn)證等級COREVALUES核心價(jià)值觀Clinical,Process&ServiceExcellence卓越的醫(yī)療護(hù)理、流程及服務(wù)BalancedScorecard平衡記分卡HighLevelOutcomes高層績效OrganisationalExcellence機(jī)構(gòu)優(yōu)異表現(xiàn)Environment環(huán)境素質(zhì)認(rèn)證ISO14001CPIP,6Sigma&IQCProjectsCPIP,6Sigma&IQC項(xiàng)目Learning&Growth學(xué)習(xí)與成長Service服務(wù)Process流程Clinical醫(yī)療護(hù)理Quality,Environmental,Health&SafetyManagementSystemsCulture,Systems&Tools素質(zhì),環(huán)境,健康和安全管理系統(tǒng)文化,體系及工具JCIAccreditationJCI素質(zhì)認(rèn)證MISSION&VISION使命及遠(yuǎn)景PeopleExcellence杰出人力資源LearningEnvironment學(xué)習(xí)環(huán)境Quality&Cost-EffectiveCare&Service優(yōu)質(zhì)及經(jīng)濟(jì)效益的護(hù)理和服務(wù)SocialResponsibilitytoEnvironment&Community對環(huán)境及社區(qū)承擔(dān)的社會責(zé)任SafeWorkEnvironmentforStaff&Patients為員工和病人提供安全的工作環(huán)境Reduce,Reuse&RecycleResources&Waste減少、再用和再循環(huán)資源及廢棄物HowJCIsitsinNUH’soverallOurJCIJourney

我們邁向JCI的歷程JCI專家到訪20032004Publicise,Awareness,Documentation&Implementation宣傳,提高意識,文件筆錄及貫徹完成Phase1第一階段Phase2第二階段Phase3第三階段OctoberNovemberDecemberJanuaryFebruaryMarchtoAprilMaytoJuneJuly十月十一月十二月一月二月三至四月

五至六月

七月RoadShows路展NewMOs新的醫(yī)療人員SelfAssessmentIdentifyGapsBridgeGapsJCIExpertVisitJCI專家到訪SelfAudit,Review&ImplementationRoadshows路展Survey自我評估認(rèn)識差距彌補(bǔ)差距自我審計(jì)、評審及貫徹完成調(diào)查Workshop&MockSurveyCompletionofDocumentation實(shí)習(xí)班及模擬調(diào)查完成文件的紀(jì)錄OurJCIJourney

我們邁向JCI的歷程JCIOverviewofJCISurveyProcess

縱觀JCI評審調(diào)查過程ContinuousQualityImprovement持續(xù)的素質(zhì)改進(jìn)InitialReviewofCoreStandards初始評審核心標(biāo)準(zhǔn)IdentifyGaps辨別差距CloseGapswithInputsfromJCIChampions從JCI得主吸取經(jīng)驗(yàn)彌補(bǔ)差距RepeatReviewofCoreStandards多次評審核心標(biāo)準(zhǔn)ImplementStrategiestoImproveWorkProcess實(shí)行策略改進(jìn)工作程序OverviewofJCISurveyProcessQualityImprovementFramework

素質(zhì)改進(jìn)的結(jié)構(gòu)框架SentinelEventsegsurgicalmishaps,ADEsFrequentAdverseEventsegTransfusionreactions,nosocomialinfections,falls,medicationerrors,pressureulcersNearMissesegmislabelling,prescription&administrationofdrugsUnderuse,Overuse,MisuseSentinelEventReview/RootCauseAnalysisDETECTION覺察IMPROVEMENT改進(jìn)ReviewbyQA/PeerReviewCommittees(egInfectionControl&BloodTransfusionCommittees)ANALYSIS分析MonitorandEvaluateChange No-faultreporting(eHOR) ClinicalReviewProgram (Chartreviews) PatientFeedback/Survey CasemixData ClinicalAuditStrategiesforImprovement

ClinicalPracticeImprovementProgramme(CPIP)CollaborativeProjects(egVentilatorBundles)QAProgrammes(egQIP&ACHSIndicators)ProcessImprovements(egQualityCircles,6Sigma,WorkRedesign)REPORT&SPREADCHANGEMANAGEMENT改變管理ClinicalOutcomesTrackingSystem

NHG2004Annex2(RefertoNUH-HAP-QIU-003–NUHQI&PSPlanAnnex2)QualityImprovementFramework

ExamplesofJCIInitiatives

提倡JCI措施的例子ExamplesofJCIInitiatives

提倡PatientInfoBrochure

病人訊息小冊子PatientRights&ResponsibilitiesLeafletavailableatallSOCs,WardsandEMD在所有診所、病房和急診部展放有關(guān)病人權(quán)利和責(zé)任的小冊子PatientInfoBrochure

病人訊息小冊子PPatientEducation教育病人A

healthinformationandresourcecentreforpatientsandvisitors…OurPatientEducationHub醫(yī)學(xué)健康常識中心–

為病人和訪客提供健康資訊和常識PatientEducationAhealthinfoWeCareForOurPatients…Aspartofourpatienteducationefforts,posterson‘5StepsToSaferHealthcare’aredisplayedinourliftnoticeboards,wardsandclinics/centres.Throughthis,wekeepourpatientsinformedoftheirrolesinhelpingtoachievethesafestandbestpossiblemedicalcareandtreatment.AJCIInitiative在電梯里,病房里和診所里的布告版占卦教育病人的“五步安全醫(yī)護(hù)”海報(bào),借此灌輸病人如何協(xié)助達(dá)到最安全和最佳的醫(yī)護(hù)和醫(yī)療。WeCareForOurPatients…AspaWritingnamesofdrugscorrectlyforpatientsafety使用正確的藥物名稱,提高病人安全水準(zhǔn)。WritingnamesAttentionallHealthcareProfessionals!PUTONPROTECTIVEBARRIERS,MINIMISEYOURRISKOFINFECTION!ShortcutstoSAFETYcancutshortyourlife!PutonappropriateprotectivebarriersinaccordancetotheSARSAlertLevelsorInfectionControlGuidelinesandwhenthereiscontactorriskofcontactwithbloodorbodyfluids.Protectivebarriersreducetheriskofexposuretopotentiallyinfectivematerial.

Youshouldwear:Gloves

toprotectskinonhandsMask

toprotecttheskinandmucosaonthefaceandtoreduceriskduetoinhalationofinfectivematerialGogglesorface-shield

toprotectskin,eyesand/ormucosaonthefaceGownand/orplasticapron

whensplashesarelikelytooccur.減少感染,工作時應(yīng)穿戴適當(dāng)?shù)谋Wo(hù)裝備如:手套、面罩、眼罩和外套!AttentionallHealthcareProfeAttentionallHealthcareProfessionals!MINIMISEYOURRISKOFINFECTIONOnesharpinjurycouldchangeyourlife.Preventthisfromhappeningto

YOU!DonotrecapneedlesDiscardsharpsintothe“Sharp”boxpersonally

Maintainasafeworkingdistancewhenyour colleagueishandlingsharpsDonotpasssharpsfromhandtohand減少感染,小心和適當(dāng)?shù)奶幚磲橆^!減少感染,小心和適當(dāng)?shù)奶幚磲橆^!AttentionallHealthcareProfePainAssessment疼痛評估 Allpatientswillbe assessedforpain

為所有病人進(jìn)行疼痛評估

Assessmentwillbedone everyshift/asandwhen required

在每個輪班或有需要時才 進(jìn)行 Informdoctorsif patient complainsofpain

通知醫(yī)生如果病人告知身體 疼痛

Findingswillbemonitoredas5thvitalsign intheclinicalchart調(diào)查結(jié)果將列為第五

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