开发一套初始的质量指标,为手术护理:一个覆盖范围审查
Robert Vining1, Jennifer Smith2, Brian Anderson3
1Palmer Center for Chiropractic Research, Palmer College of Chiropractic, 1000 Brady St, Davenport, IA, USA. robert.vining@palmer.edu.
BMC health services research
|January 12, 2024
概括
这项研究开发了70个初步的质量指标,用于手术治疗,可以使用行政数据进行测量. 需要进一步的研究来评估可行性,并将患者的观点纳入全面的质量评估.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 整形手术护理 整形手术护理
- 质量测量 质量测量
背景情况:
- 在同行评审的文献中,没有标准化,基于证据的手术护理质量指标存在.
- 现有的质量指标缺乏专门针对手术实践的综合性指标.
- 对可测量的质量指标的需求对于推进手术护理标准至关重要.
研究的目的:
- 开发一套初步的质量指标,用于整形外科护理.
- 使用行政数据创建可测量的指标.
- 建立一个基础,为未来的质量评估在手术治疗实践.
主要方法:
- 进行了对数据库 (PubMed/MEDLINE,CINAHL,手术文献索引) 和非同行评审的来源的范围审查.
- 从符合条件的来源识别并转化声明,成为潜在的质量指标.
- 根据具体性,数据可用性,可实现性,相关性和及时性评估指标草案.
主要成果:
- 在经过严格的评估过程后,确定了70个不同的脊椎治疗护理质量指标.
- 大多数指标都属于Donabedian的过程 (35) 和结构 (31) 类别,其中有4个结果指标.
- 没有发现支持从患者角度开发指标的来源.
结论:
- 已经提出了一套初步的70个质量指标,可以用行政数据来衡量手术治疗的质量指标.
- 未来的研究应该侧重于可行性,利益相关者的共识,并纳入患者报告的结果.
- 这项工作为通过标准化测量改善手术护理质量提供了基础.
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