Improving the daily practice of medicine requires making changes in processes of care.
In many circumstances, the most powerful way to make such changes is to conduct small, local tests-Plan-Do-Study-Act (PDSA) cycles-in which one learns from taking action.
Learning in these cycles has much in common with learning from prudent clinical work, in which therapies are initiated under close observation and adjustments are made as data and experience accumulate.
For many system improvements, PDSA cycles are more appropriate and informative than either formal studies with experimental designs (such as randomized trials) or the mere implementation of changes without reflection or evaluative measurement.
Physicians can encourage systemic improvement by endorsing and participating in prudent, local tests of change in their own offices and in the health care organizations in which they work.
To do this, they must understand the scientific value and integrity of such small-scale tests.
Mots-clés Pascal : Système santé, Evaluation donnée mesure, Echelle petite, Construction test, Médecin, Capacité différenciation, Application médicale, Homme, Plan-Do-Study-Act
Mots-clés Pascal anglais : Health system, Measured data evaluation, Small scale, Test construction, Physician, Differentiation capacity, Medical application, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0230194
Code Inist : 002B30A01B. Création : 11/09/1998.