开发一套质量指标在日本的儿科和围产期护理,使用修改的德尔菲方法
Daisuke Shinjo1,2, Nobuaki Ozawa3, Naoya Nakadate4
1Department of Health Policy and Informatics, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan dshinjo.hci@tmd.ac.jp.
BMJ paediatrics open
|November 8, 2023
概括
这项研究使用行政数据库开发了79个日本儿科和围产期护理的质量指标 (QI). 实践测试证实了这些QI是可测量的,适用于改善医疗保健质量.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 儿科和周产期医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在日本,儿科和围产期质量指标 (QI) 的发展有限.
- 需要有效的措施来确保和提高这些专业的护理质量.
- 缺乏确定的质量指标阻碍了质量评估和基准测试.
研究的目的:
- 为日本的儿科和产周护理制定新的质量指标 (QI).
- 用行政数据库和实践测试来验证这些QA的可行性和适用性.
- 建立一个基础,为日本儿童和母亲健康的质量改善举措.
主要方法:
- 使用RAND修改的Delphi方法,整合证据审查和专家共识.
- 从临床实践指南和现有指标 (2010-2020) 中生成QI候选人.
- 通过使用国家儿童医院 (2018-2021) 的行政数据,回顾评估了QI表现.
主要成果:
- 确定了124个临床实践指南和193个现有指标,以产生QI候选人.
- 通过专家共识开发并接受了79个质量指标 (QI).
- 实践测试显示,在患者安全,一般儿科,先进儿科和先进产科方面,有可测量的性能差异.
结论:
- 在日本成功建立了儿童和产周护理的79个质量指标 (QI).
- 证实了开发的QI的可测量性和全国适用性.
- 对这些QI进行基准测试,为提高医疗保健质量提供了一个有希望的策略.
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