Improving quality of care delivery is an important focus for all practicing physicians. Frontline clinicians are in a great position to identify clinical problems and find innovative solutions. The current review describes the method used for quality improvement based on the Model for Improvement, a structural framework to guide improvement work. At its basis are three fundamental questions: What are we trying to accomplish? How will I know that a change will lead to improvement? And what changes could we make that will result in improvement? This preparation phase aims to identify and understand the problem, choose an intervention, and determine reliable measures to gauge improvement. The intervention is then tested using PLAN-DO-STUDY-ACT (PDSA) cycles, an iterative approach to systematically improve processes and outcomes. PLAN focuses on defining the goal of the cycle and describing in details what will be done. DO concentrates on the concrete application of the plan. STUDY focuses on data analyses as ACT identifies lessons learned from the cycle and orientate the goals of the following PDSA cycle. Learning from each cycle, developing an interdisciplinary team and repeated interventions are core principles involved in implementing a sustainable quality improvement program. The Model for Improvement will be illustrated by a common quality problem in pediatric nephrology.

中文翻译：

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儿科肾脏病质量改进-实用指南。

改善护理质量是所有执业医师的重要重点。一线临床医生很容易发现临床问题并找到创新的解决方案。当前的审查基于改进模型（一种指导改进工作的结构框架）描述了用于质量改进的方法。它的基础是三个基本问题：我们要完成什么？我怎么知道变更会带来改善？我们可以做出哪些改变才能带来改善？此准备阶段旨在识别和理解问题，选择干预措施并确定可靠的措施来评估改进。然后使用PLAN-DO-STUDY-ACT（PDSA）周期对干预进行测试，这是一种系统地改善流程和结果的迭代方法。PLAN专注于定义周期的目标并详细描述将要完成的工作。DO专注于该计划的具体应用。当ACT识别从周期中吸取的教训并确定下一个PDSA周期的目标时，研究将重点放在数据分析上。从每个周期中学习，建立跨学科团队和反复干预是实施可持续质量改进计划的核心原则。改进模型将通过儿科肾脏病中常见的质量问题进行说明。发展跨学科团队和反复干预是实施可持续质量改进计划的核心原则。改进模型将通过儿科肾脏病中常见的质量问题进行说明。发展跨学科团队和反复干预是实施可持续质量改进计划的核心原则。改进模型将通过儿科肾脏病中常见的质量问题进行说明。