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臨床の質改善キット

安全な医療の改善：臨床監査、PDSAサイクル、インシデント報告、RCA2レビュー、院内ガイドライン、SQUIRE 2.0報告。

8 件のテンプレートを、使う順に 3 ステップで並べています。エディターで開いて記入し、PDF、DOCX、HTML に書き出せます。

ステップ 1

測定と実験

  1. Clinical Audit Report Template

    標準

    Clinical audit report by the audit cycle: standards and targets, method, compliance % vs standards, action plan, re-audit

    Clinical audit cycle (HQIP guidance, UK); 42 CFR 482.21 QAPI (US); SQUIRE 2.0 (2016)

  2. PDSA Cycle Worksheet Template

    標準

    One PDSA test of change: Model for Improvement aim and measures, driver diagram, plan with prediction, do, study, act, ramp of cycles, run chart with rules

    IHI Model for Improvement (Langley et al. 2009); run chart rules (Perla et al. 2011)

  3. KPI Scorecard Template (Balanced Scorecard)

    標準

    Strategic objectives, KPIs in four balanced scorecard perspectives, baseline, target, progress and RAG, definitions, perspective summary, actions, trend

    Balanced scorecard (Kaplan and Norton, 1992)
ステップ 2

学習

  1. Patient Safety Incident Report Template

    標準

    Incident report and learning review: immediate actions, WHO ICPS classification and harm, family involvement, learning response, findings, safety actions

    WHO ICPS conceptual framework (2009); NHS PSIRF and US PSQIA 2005 as examples

  2. Root Cause Analysis and Action Template (RCA2, Patient Safety)

    フル

    Serious event RCA2 review: SAC prioritisation, blameworthy screen, team charter, chronology, causal statements, action hierarchy, measures, feedback

    RCA2 (NPSF 2015, version 2 January 2016)

  3. After-Action Review Template (AAR)

    標準

    After-action review: objectives and intent, timeline, planned vs actual, causes, sustain and improve, SMART improvement plan, follow-up (TC 7-0.1, HSEEP AAR/IP)

    US Army TC 7-0.1 After Action Reviews (2025); FEMA HSEEP Doctrine (2020)
ステップ 3

ドキュメント化

  1. Quality Improvement Report Template (SQUIRE 2.0)

    フル

    QI project report by the 18 SQUIRE 2.0 items: aim, context, driver diagram, measures, run chart, PDSA log, limitations, sustainability plan

    SQUIRE 2.0 (2016)

  2. Clinical Guideline and Care Pathway Template (AGREE II, GRADE)

    フル

    Local guideline or care pathway: scope and PICO questions, recommendations with GRADE strength, pathway, methods, audit criteria, AGREE II self-appraisal

    AGREE II (2009, manual updated 2017); GRADE