在莫斯手术中确定关键质量指标:国家专家共识过程
Joseph A Dodson1, Sarah A Ibrahim2, Howard Rogers3
1Rush Medical College of Rush University Medical Center, Chicago, Illinois.
Journal of the American Academy of Dermatology
|December 11, 2023
概括
这项研究通过吸引外科医生和患者来确定莫斯微图外科手术 (MMS) 卓越的关键指标. 这些发现旨在定义MMS中高质量的患者护理.
科学领域:
- 皮肤病学 皮肤病学
- 手术瘤学手术瘤学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 医疗保健领域正在转向以价值为基础的护理,强调患者的结果和服务成本.
- 定义和证明莫斯微图外科手术 (MMS) 的质量需要了解确保优秀患者护理的关键方面.
研究的目的:
- 开发和确定一个全面的指标清单来定义莫斯微图外科手术 (MMS) 中的卓越.
- 在MMS中建立数据驱动的质量评估方法的基础.
主要方法:
- 采用了经过修改的Delphi过程,涉及Mohs外科医生,在一系列指标上达成共识.
- 进行了患者调查,以纳入他们对手术质量的看法.
主要成果:
- 在66个初始指标中,有24个符合基于专家共识的最终纳入标准.
- 该倡议通过医生反获得了广泛的支持,表明对定义MMS质量有共同的兴趣.
结论:
- 这一初步的努力突出了莫斯外科医生和患者关于外科卓越的不同观点.
- 让外科医生和患者参与数据驱动的方法可以有效地定义和提高莫斯微图外科手术 (MMS) 的质量.
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