计划性质量措施:促进外科手术质量的新模式
Xane Peters1,2, Jill Sage3, Courtney Collins4
1Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL 60611, United States.
Health affairs scholar
|May 17, 2024
概括
美国外科医生学院推出了程序性措施,一种新的医疗保健绩效指标. 这些措施协调了结构,过程和结果,以改善质量测量和减少临床医生的负担.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高科学 提高质量
- 手术质量测量手术质量测量
背景情况:
- 当前的医疗保健绩效指标往往只关注结果,过程或结构.
- 现有的测量系统面临的局限性是由于数据的变化,不一致的定义,和解决方案.
- 需要更多的综合和实用的质量测量工具.
研究的目的:
- 介绍和描述由美国外科医生学院开发的新的"程序测量".
- 突出方案性措施与传统单一或复合措施的区别.
- 解释程序性措施的好处,使质量测量与临床实践和患者护理保持一致.
主要方法:
- 美国外科医生协会开发了"程序化措施".
- 专注于协调结构部件,过程和患者的治疗结果.
- 整合最低资源要求,包括人员和基本的患者护理资源.
主要成果:
- 方案性措施提供了多方面的方法,协调质量测量与前线护理团队.
- 这些指标不同于单一指标 (如手术部位感染) 和当代复合指标.
- 结构元素解决人员和资源障碍,简化质量报告.
- 预计将为患者改善护理导航,为临床医生更好地调整目标.
结论:
- 方案性措施代表了以患者为中心的医疗保健质量和测量方法.
- 这些新指标旨在减轻过度指标,错误的优先级和资源限制的负担.
- 结构,流程和结果的调整预计将增强团队合作,沟通和整体医疗保健质量.
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