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의료기관의 성과관리와 질 향상 연계체계 구축을 위한 임상적 성과지표 개발

 Development of Clinical Performance Indicators for Establishing a Connecting System between Hospital Performance Management and Quality Improvement

Journal of Korean Academy of Nursing 2005년 35권 7호 p.1238 ~ 1247
KMID : 0806120050350071238
장금성/Jang KS
이삼용/김윤민/황선영/김남영/류세앙/박순주/최자윤/Lee SY/Kim YM/Hwang SY/Kim NY/Ryu SA/Park SJ/Choi JY

Abstract

Purpose: This study aimed at developing integrated clinical performance indicators(CPIs) through the analysis of quality improvement(QI) activities of a hospital and literature review about performance measures.

Method: The CPIs were developed through the following three stages; 1)Identifying preliminary CPIs 2)A staff validity test in preliminary CPIs 3)Developing final CPIs.

Result: One hundred twenty-three preliminary CPIs were developed through QI activities of the target hospital for 8 years and literature review. The results of the validity test for the preliminary CPIs supported ninety-one items. Sixty-two CPIs were selected through integration, reclassification and renaming. Then, eighteen items were deleted on account of an imprecise calculation method. Finally, forty-four CPIs were confirmed. They consisted of twenty-six items at the hospital level and eighteen items at the department level.

Conclusion: CPIs can be used as criteria to evaluate the performance of healthcare organizations, and to decide the quality of healthcare for customers. This study may contribute to establishing an integrated system between QI activities and performance measurement of healthcare organizations.
KeyWords
질 향상, 임상적 성과지표, Quality Indicators, Healthcare
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed