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[衡量紧急创伤护理绩效的指标]
Juan Daniel Vera-López1, Ileana Beatriz Heredia-Pi2, Ricardo Pérez-Núñez3
1Escuela de Salud Pública de México, Doctorado en Ciencias en Sistemas de Salud. Cuernavaca, Morelos, México.
Revista medica del Instituto Mexicano del Seguro Social
|November 23, 2023
概括
这项研究审查了48篇关于紧急创伤护理绩效指标的文章. 虽然像服务时间这样的过程指标是常见的,但患者满意度和残疾的结果指标需要更多的探索来评估综合护理.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健绩效测量方法 医疗保健绩效测量方法
- 创伤护理系统系统
背景情况:
- 有效的绩效测量对于优化紧急创伤护理的提供至关重要.
- 现有的文献揭示了全球使用的各种各样的指标.
- 在创伤护理评估方面,标准化和全面评估仍然是挑战.
研究的目的:
- 系统地识别和分类紧急创伤护理的关键绩效指标 (KPI).
- 分析过程和结果维度中不同类型的指标的普及率.
- 突出创伤护理绩效评估中研究不足的领域.
主要方法:
- 在PubMed,LILACS和Epistemónikos数据库中进行了全面的文献审查.
- 包括2011年1月至2021年12月的西班牙语,英语和葡萄牙语出版物.
- 总共有962个出版物最初被确定,其中48篇文章经过全文审查和分析.
主要成果:
- 确定了100个不同的绩效指标,分为流程 (71%) 和结果 (29%) 的维度.
- 过程指标经常包括服务时间和分组;死亡率和停留时间是显著的结果指标.
- 伤害后残疾 (6) 和患者满意度 (14) 的指标较少被报告,而投诉是最常见的满意度指标.
结论:
- 目前使用各种各样的指标来评估紧急创伤护理绩效.
- 与患者满意度和创伤后功能障碍相关的指标的探索存在重大差距.
- 医疗保健决策者应优先考虑使用敏感和相关指标进行绩效评估,以改善创伤护理结果.
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