建立一个儿科重症监护核心质量衡量标准,采用多利益相关者,共识驱动的过程
Jessica A Schults1,2,3,4,5, Karina R Charles1,2,3,4, Johnny Millar6,7
1Herston Infectious Diseases Institute, Metro North Hospital and Health Service, Queensland, Australia.
为儿科重症监护制定了一套51项核心质量衡量标准,与患者和临床医生的优先事项保持一致. 这旨在改善医疗保健质量监测,减少数据收集负担.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 儿科重症监护的研究研究.
- 医疗服务研究 医疗服务研究
背景情况:
- 由于各种措施和数据收集挑战,监测儿科重症监护的医疗保健质量是复杂的.
- 建立一致的质量指标对于改善患者结果和护理标准至关重要.
研究的目的:
- 为儿童重症监护制定一套核心质量措施.
- 确保措施对消费者 (患者/家庭) 和临床医生都具有意义.
- 促进在整个领域一致使用和收集质量指标.
主要方法:
- 一个多利益相关者德尔菲研究与消费者优先级调查相结合.
- 涉及澳大利亚和新西兰的儿科重症监护幸存者,家庭,临床医生和政策制定者.
- 调查数据的三角测量之前有一个共识会议,以最终确定措施.
主要成果:
- 消费者优先考虑护士患者比例,可见的患者目标和长期随访.
- 临床医生同意了一套51项核心措施,优先考虑护士患者比例,员工流动和长期跟踪.
- 由于数据收集负担和缺乏标准化定义,可行性被评为低.
结论:
- 为儿科重症监护定义了一个51项核心测量集,反映了临床医生和消费者的优先事项.
- 对于质量项目来说,建议实施和评估此套程序.
- 未来的工作应该解决措施的可行性,并考虑退休多余的措施.
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