A Study of Quality Improvement with Length of Hospital Stay and Early Readmission of NIDDM

全面品管是提昇服務品質有效的管理模式，本研究的目的是運用全面品管建立糖尿病患者的出院計劃以及評估其成效。本研究為前實驗設計法，個案是30位糖尿病患（平均年齡為67歲)，15位患者為控制組；全面品管出院計劃在一所300床社區醫院實施後，15位患者為實驗組的個案。基本的資料收集包括：基本屬性，病歷查詢，及糖尿病自我照顧評估問卷調查。病患出院6星期內以電話訪談兩次，根據研究資料顯示；經由患者的出院衛教，成功的轉介系統、以及多專業工作小組的較好合作關係等的全面品管之出院準備服務，是提供了醫師改善糖尿病的照顧品質和減少再入院率的有效方法。

關鍵字

全面品管；出院計畫；住院天數；早期再入院率

並列摘要

The Principles of Total Quality Management (TQM) can be used to establish an effective management model which stresses quality of care. The purpose of this paper is to illustrate how to Apply TQM principles to set up an effective discharge planning protocol for NIDDM patients and to evaluate of a TQM based protocol in improving the quality of care. A pre-experimental research design was used. After establishing TQM based system for discharge planning, a convenience sample of 30 NIDDM patients (mean age 67 year) was drawn from a 300-bed community hospital in Taiwan. Fifteen of these patients were surveyed without TQM intervention and served as the control group. The remaining fifteen NIDDM patients were treated with the TQM-based discharge planning protocol and served as the experimental group. Baseline assessment data such as demographic information, chart review, and diabetes self-care assessment questionnaires were collected through personal interviews with the patients. During the first six weeks after discharge, follow-up telephone contacts were made two times with each patient. The findings of this study suggest that the TQM-based discharge planning protocol can improve quality of diabetes care through discharge patient education and better multi-disciplinary teamwork. The TQM discharge planning protocol also resulted in a decrease of the early readmission rate.

並列關鍵字

total quality management ； discharge planning ； length of hospital stay ； early readmission

國際替代計量

A Study of Quality Improvement with Length of Hospital Stay and Early Readmission of NIDDM

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