The Getting It Right First Time (GIRFT) programme is a quality improvement initiative covering the National Health Service in England. The programme aims to standardise clinical practices and improve patient and system level outcomes by utilising data-driven insights and clinically-led recommendations. There are GIRFT workstreams for every medical and surgical specialty, including urology. Defining features of the GIRFT methodology are that it is clinically led by experienced clinicians, data-driven, and specialty specific. Each specialty workstream conducts deep-dive visits to every hospital, analysing performance data and engaging with clinicians and management to identify and share improvement priorities. For urology, GIRFT has completed deep-dive visits and published reports outlining priority areas for development. Reports include recommendations pertaining to streamlining care pathways, reducing the acuity of care environments, enhancing emergency services, optimising utilisation of outpatient services, and workforce training and utilisation. The GIRFT academy provides guides for implementing best practices specific to priority areas of care. These include important disease pathways, and GIRFT-advocated innovations such as urology investigation units and urology area networks. GIRFT offers clinical transformation, cost reduction, equity in access to care, and leaner models of care that are often more environmentally sustainable. Evaluation efforts of the programme have focussed on assessing the adoption of GIRFT recommendations, understanding barriers to change, and modelling the climate impact of advocated practices.

中文翻译：

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泌尿外科的“第一次就做对”(GIRFT) 计划；基本原理和方法

“第一次就做对” (GIRFT) 计划是一项涵盖英格兰国民医疗服务体系的质量改进计划。该计划旨在通过利用数据驱动的见解和临床主导的建议来标准化临床实践并改善患者和系统水平的结果。每个医学和外科专业（包括泌尿科）都有 GIRFT 工作流。 GIRFT 方法的定义特征是它由经验丰富的临床医生临床领导、数据驱动且针对特定专业。每个专业工作流程都会对每家医院进行深入访问，分析绩效数据并与临床医生和管理层合作，以确定和共享改进重点。对于泌尿外科，GIRFT 已完成深入访问并发布了概述优先发展领域的报告。报告包括有关简化护理途径、降低护理环境的敏感度、加强紧急服务、优化门诊服务的利用以及劳动力培训和利用的建议。 GIRFT 学院提供针对优先护理领域实施最佳实践的指南。其中包括重要的疾病途径以及 GIRFT 倡导的创新，例如泌尿科调查单位和泌尿科区域网络。 GIRFT 提供临床转型、降低成本、公平地获得护理以及通常更具环境可持续性的更精简的护理模式。该计划的评估工作重点是评估 GIRFT 建议的采用情况、了解变革的障碍以及对所倡导的做法对气候的影响进行建模。