在大型综合癌症网络中实施外科医生特定的跟踪和绩效报告后,评估乳腺护理监测指标的趋势
Richard L White1, Michelle L Wallander2, Marjorie E Leighliter3
1Division of Surgical Oncology, Department of Surgery, Levine Cancer Institute, Atrium Health, Charlotte, North Carolina, USA.
Cancer
|June 29, 2023
概括
一个外科医生绩效跟踪系统通过改进决策来改善乳腺癌护理. 这一系统导致哨兵淋巴结活检减少40%,乳腺保存率增加10%.
科学领域:
- 手术瘤学手术瘤学
- 提高质量 提高质量
- 医疗保健管理的管理
背景情况:
- 对于外科瘤学而言,存在有限的质量指标和基准.
- 外科医生级别的绩效指标可以积极影响外科手术决策.
- 开发了一个评估个体外科医生在乳腺护理方面的表现的系统.
研究的目的:
- 为乳腺护理建立一个外科医生级别的绩效指标系统.
- 评估同行比较对手术决策的影响.
- 追踪和报告乳腺护理的证据和基于共识的指标.
主要方法:
- 一个监控跟踪系统使用推和手术指标评估了外科医生的表现.
- 对从2015年至2021年前性收集的乳房护理数据的回顾性分析.
- 在9个护理地点对27个乳房护理指标的评估.
主要成果:
- 41名外科医生在7年内为6659名患者提供了护理.
- 在特定的患者群体中,哨兵淋巴结活检率下降了40% (p < .001).
- 乳腺保存率增加了10%,SLN去除和操作文档的改善.
结论:
- 一个针对外科医生的,同行比较的度量和跟踪系统显著改变了乳腺护理管理.
- 该模型可用于量化其他机构和不同疾病部位的乳房护理.
- 实施的系统证明了乳房护理的实质性改进.
相关概念视频
Cancer Survival Analysis
402
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
402
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Standards of Care II
688
Nurses bear specific legal responsibilities under several federal statutes, including:
688


