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从代谢和减肥手术认证和质量改进计划现场调查中吸取的经验教训:常见的缺陷和纠正措施
John M Morton1, Wayne English2, Dan Jones3
1Department of Surgery, Yale University School of Medicine, New Haven, Connecticut.
概括
代谢和腹部外科认证和质量改进计划 (MBSAQIP) 使用现场调查来确保遵守标准. 大多数认可的课程在发现缺陷后成功改善或保持其认证状态.
科学领域:
- 改善外科手术的质量
- 医疗保健认证 医疗保健认证
- 代谢和腹部手术 代谢和腹部手术
背景情况:
- 代谢和减肥手术认证和质量改进计划 (MBSAQIP) 是美国代谢和减肥手术协会 (ASMBS) 和美国外科医生学院 (ACS) 的合作倡议.
- 认证依赖于严格的现场调查,以验证遵守已建立的MBSAQIP标准.
研究的目的:
- 为了追溯分析两年内进行的619个MBSAQIP现场调查.
- 评估审查员的决定,识别与MBSAQIP标准相对的缺陷,跟踪纠正措施和认证率.
主要方法:
- 对619个现场调查的回顾性审查.
- 分析审查员的决定和发现的缺陷.
- 追踪纠正行动和最终认证结果.
主要成果:
- 24.07%的被调查项目 (149/619) 至少有一个MBSAQIP标准缺陷.
- 最主要的缺陷是对质量护理的承诺,持续质量改进过程和数据收集.
- 最终,98.9%的课程获得或维持了MBSAQIP认证,大多数缺陷通过合规或试用期得到解决.
结论:
- 现场调查有效地识别了MBSAQIP认可计划的改进领域.
- MBSAQIP认证过程推动了对代谢和减肥外科手术的质量标准的遵守.
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