在腹部手术的质量改进项目中使用统计过程控制:PRISMA系统审查
Yara Lima de Mendonca1,2, Rubiana Sarto3, Hannes Titeca4
1University of Exeter, Exeter, UK yara.mendonca@doctors.org.uk.
BMJ open quality
|February 1, 2024
概括
统计过程控制 (SPC) 在外科专业中越来越多地用于改善患者护理. 然而,它在腹部手术中的应用需要更强大的分析来防止错误并确保质量改善.
科学领域:
- 改善外科手术的质量
- 医疗保健分析 医疗保健分析
- 医学统计 医学统计
背景情况:
- 越来越多地采用质量改进方法来减少患者的发病率,死亡率和住院时间.
- 统计过程控制 (SPC) 是评估质量改进的关键工具,但在腹部外科手术中记录的应用有限.
- 以前对医疗保健中的SPC进行的系统审查发现了很少的手术特异性研究.
研究的目的:
- 系统地审查在腹部外科专业的统计过程控制 (SPC) 的应用.
- 分析2004年至2019年期间腹部外科SPC实施的趋势和质量.
主要方法:
- 使用Embase和Ovid Medline数据库进行了系统审查.
- 搜索术语结合了"腹部手术"和"统计过程控制 (SPC)".
- 该审查遵循了系统性审查和元分析 (PRISMA) 的首选报告项目指南.
主要成果:
- 20篇文章符合入选标准,主要来自北美,欧洲和澳大利亚.
- 手术并发症是最常被研究的结果,泌尿病学,结肠直肠和儿科手术是主要的专业.
- 虽然SPC在各种结果和图形类型中显示出应用的灵活性,但一些研究显示出可变的质量和方法限制.
结论:
- 在手术领域,SPC应用正在增长,但落后于麻醉等领域.
- 几项研究中发现的概念和分析错误凸显了需要改进SPC实施的必要性.
- 增强SPC的分析严谨性对于精确改善外科护理质量至关重要.
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