從醫學教育的觀點談國際醫療照護品質暨病人安全(ISQua)的趨勢

The Contents and Trend of ISQua (International Society for Quality in Health Care) from the Medical Education Perspective

10.6145/jme.201106_15(2).0009

劉競明(Ching-Ming Liu)

醫療照護 ； 醫療品質 ； 病人安全 ； 整合式醫療 ； 臨床品質改善 ； 評鑑 ； health care ； patient safety ； healthcare quality ； clinical quality improvement ； accreditation ； integrated health care

Journal of Medical Education

15卷2期（2011 / 06 / 01）

152 - 164

繁體中文

國際醫療照護品質與安全年會，是增進醫師繼續教育對近年該議題了解的最佳入門，傳統醫學教育忽視品質與病安。會議分為會前會、主要會議及專業參訪與機構參訪教育行程。會議也注重教育與人才培育，作者以其親身經歷，分別在波士頓、哥本哈根與巴黎主辦會議之議程、內容與專業參訪與教學訪視行程做比較，並做簡單的趨勢分析。波士頓的會議內容著重在病人安全分類及定義，臨床品質改善與醫學教育模擬；哥本哈根會議內容著重在病人安全照護知識、資訊系統在品質改善應用、醫療照護指標與量度、品質領導；巴黎會議注重董事會領導、醫療照護整合、臨床稽核。未來醫學教育課程內容應增加醫療品質相關的正式課程，讓醫學生早日接觸此類問題。

In the context of continuing medical education, participating in the ISQua (International Society for Quality in Health Care) meeting is a good approach to obtain a better understanding of healthcare quality and patient safety in relation to hospital accreditation issues. This area of traditional and academic medical education has been seen as unimportant for a long time but the area is now reemerging as important. This symposium consisted of a pre-conference, the main conference, professional visits, and a post-conference mentorship program. The meeting also paid heed to educational, cultural and workforce related issues. The author presents his own experiences and opinions while making comparisons with respect to the content of the program. The three previous meetings held in Boston, Copenhagen and Paris are also analyzed to identify possible trends. The main features at the Boston meeting were related to the classifications of patient safety and accreditation together with clinical quality improvement. This contrasted with Copenhagen where knowledge of safety care and the application of Information Technology in Quality Improvement were emphasized. The next meeting in Paris placed emphasize on Board leadership, quality, clinical audit teams, and integrated health care. Based on the above, it is clear that medical education needs to add health care quality and patient safety into the formal medical education curriculum in the future in order to give students the opportunity to be exposed early in their career to these important issues.

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