对急诊医生的入院强度衡量的可靠性
Alexander T Janke1, Jonathan J Oskvarek2, Mark S Zocchi3
1VA HSR&D Center for the Study of Healthcare Innovation, Implementation, & Policy/Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI; Department of Emergency Medicine, Yale School of Medicine, New Haven, CT.
Annals of emergency medicine
|March 2, 2024
概括
一项新的测量准确地评估了急诊室 (ED) 的入院率,显示了设施和医生之间的稳定性. 该工具可靠地识别基于价值的护理计划的高和低入院医生.
科学领域:
- 衡量医疗保健质量的测量方法
- 医疗服务研究 医疗服务研究
- 基于价值的护理分析.
背景情况:
- 紧急部门 (ED) 的入院强度有所不同,影响了基于价值的护理计划.
- 稳定的措施对于准确评估医疗机构和个人医生的ED入院率至关重要.
研究的目的:
- 评估一种新的ED吸收强度测量方法的稳定性.
- 评估该措施在以价值为基础的护理倡议中的实用性,旨在减少入院率变化.
- 为了确定测量是否可以可靠地识别高和低入院医生.
主要方法:
- 利用来自41个州的358个ED的数据 (2018-2021).
- 该措施计算了16种临床条件和535个ICD-10代码的每100次ED访问的ED入院率.
- 采用描述图和多层线性概率模型来分析随时间,跨ED和医生之间的稳定性.
主要成果:
- 平均ED入院率为27.6%,在设施之间 (9.7%) 和设施内 (3.0%) 有显著的变化 (ICC=0.91).
- 在7002名医生中,平均入院率为28.3%,医生之间 (6.7%) 和医生内部 (5.5%) 的变化值得注意 (ICC=0.59).
- 2.9%的医生总是高录取率,3.9%的医生总是相对于同龄人低录取率.
结论:
- 开发的测量表明在特征ED级招生率方面具有很强的稳定性.
- 该措施可靠地识别出具有持续高或低入院模式的医生.
- 该工具通过提供关于ED入院强度的稳定可靠数据来支持基于价值的护理计划.
更多相关视频
07:52Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department
Published on: January 29, 2011
16.2K
04:05Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
Published on: June 30, 2023
1.8K
相关概念视频
01:29Reliability and Validity
12.7K
Reliability and validity are two important considerations that must be made with any type of data collection. Reliability refers to the ability to consistently produce a given result. In the context of psychological research, this would mean that any instruments or tools used to collect data do so in consistent, reproducible ways.
12.7K
01:08The Availability Heuristic
6.0K
A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):
6.0K