Professional Documents
Culture Documents
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C3THER Plot Graph
Good Practice 3 6
: Case
DHF
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2546 3 11
1. KM (Knowledge Management)
2. KM LO (Learning Organization)
3. KM
1. C&C
E&E
2.
No. 1
Everyone
3. Explicit
E + Tacit
4.
+
5. Best Practices
6. Physical
+ Virtual
7.
+
8. Give Rewards & Recognition
9. Build Knowledge Assets
10.
Create Community of Practices
Model 3 . ( Learning to Fly)
()
3 Parts of KM
- Knowledge Vision (KV) KM
Plot Graph
( Share )
Share (Knowledge Assets)
(Knowledge Assets)
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:
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- / VCD
10.15 12.00 . (Share and Learn)
( 4 )
1
5 ( 3)
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13.00 14.30 . (Share and Learn) ()
14.45 17.00 . (Knowledge Assets)
23 2547
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(4 )
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Work Shop ., Role Play, Internet
Quality Audit Incident Report,
, ,
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Case C/S , CQI Tube
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*
.
Medication Error
*
-
( )
Knowledge Asset
Risk Hypoxia
Hypoxia,
Atelectasis
Root Cause Analysis
PRE OP
INTRA OP
Ward
Anest
scrub
OR
Anest
Scrub
.
.
.
POST OP
Ward, ICU
Anest
Scrub
PRE OP
1.
PRE OP
2.
INTRA OP 3.
POST OP 4. (SCORE)
POST OP 5. Protocol Observe
INDICATOR Hypoxia
2 5 ( 4)
. , . , . , . , . , . ,
. , .
*
- RM
*
- RM 5
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-
- Quality Round Round
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* -
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- SS (Suggestion System)
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*
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*
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- (.)
2 1 (.)
- Identify
- (.)
- () MI
- Endotracheal Tube .
- RM (.) Buddy
Comment
. : Share
Content 1
. : - 2 1 Concept
-
-
-
- /
- 2 /
Sharing RCA
Hypoxia Case
1 Sharing OK Web site
2
*
*
,
()
Quality Round
* 2
,
3 10 ( 5)
. , . , . , . ,
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1. CPG
2. CPG
- High Risk, High Volume
,
3. CPG
- Orientation
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1.
2.
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10
3.
1. Diastolic > 95 mmHg
2. Rabie Vaccine
Vaccine ,
3.
Blue Light
4. Chest Pain High Risk, PCT Med
1.
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2. .
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- Gap Analysis
11
3.
- / ,
. : 1
. CPG . ER
CPG
:
. : CPG
Clinical Outcome
. :
* Concept +
* CPG Sharing
Block Share
*
* Share
Share
1. CPG
2.
CPG, Care map
*
* Fast Track
. :
*
* Gap
* Clinical Indicator
12
* Gap
*
13.00 .
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1
2 Sensitive
3
2 9
Knowledge Asset
1 2 5 3 4
10
14.45 .
() Knowledge Asset
17.00 .