使用多站点数据注册表开发神经眼科质量保证框架
Anoushka P Lal1, Sylvia Dimmick, Olga Roche
1Department of Neuroscience (APL, OR, AVdW), Central Clinical School, Alfred Hospital, Melbourne, Victoria, Australia; Neuro-Ophthalmology Service (SD, OR, WW, OW, AVdW), Alfred Hospital, Melbourne, Victoria, Australia; Save Sight Institute (CF), University of Sydney, Sydney, New South Wales, Australia; and Department of Neuro-Ophthalmology (SS, RC, LAdP, AF, NS), Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.
概括
实施了一个新的神经眼科注册表 (NODE) 和分拣系统,以评估护理质量. 大多数神经眼科疾病都得到了适当的分类,并在既定的时间框架内进行了观察.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 质量保证 质量保证 质量保证
背景情况:
- 神经眼科 (NOPH) 的质量保证往往缺乏.
- 一家高等NOPH诊所实施了神经眼科数据库 (NODE),以评估转诊质量和咨询时间.
- 澳大利亚标准化选类别 (P1,P2,P3) 为NOPH条件开发.
研究的目的:
- 评估转介评估的质量和咨询时间,以了解常见的NOPH条件.
- 实施和验证质量保证注册表 (NODE) 和标准化分拣类别.
- 建立一个对NOPH护理质量进行比较的框架.
主要方法:
- 收集了墨尔本阿尔弗雷德医院676名患者的数据,使用NODE注册表.
- 在使用修改后的Delphi方法与7名专家神经眼科医生共同开发了NOPH条件分类类别的共识.
- 分析了从转诊到分拣和分拣到咨询的平均时间,并将它们与开发的分拣标准进行比较.
主要成果:
- 在两轮专家评分 (≥75%的同意) 之后,就分拣类别达成共识.
- 对于所有常见的NOPH诊断,转诊到选的平均时间为5天以下.
- 选后的平均咨询时间是:P1 (IIH,ON,CND,乳头炎) 15-20天;P2 (头痛,EOMD) 22-48天;P3 (肌痛大症,视觉雪) 38-54天.
结论:
- 建立了对NOPH条件的分类类别的共识,适合与更大的专家小组进行进一步验证.
- 创建了一个NOPH注册表 (NODE),以对NOPH服务中的护理质量进行基准评估.
- 证明大多数NOPH条件都得到了适当的选,并根据登记数据及时查看.
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