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在胰腺手术中的基准测试:衡量发展和验证的系统审查
Giovanna Di Meo1, Francesco Paolo Prete1, Enrico Fischetti1
1Department of Precision and Regenerative Medicine and Ionian Area, University of Bari "Aldo Moro", Bari, Italy.
Updates in surgery
|August 30, 2024
概括
在胰腺手术中的基准测试使用各种质量指标. 这一系统性审查突出了计量发展和共识中的异质性,影响了复杂外科手术程序中的患者护理质量和安全性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 手术结果研究研究.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基准测试对于评估和改善胰腺手术等复杂手术的护理质量至关重要.
- 现有的指标不断改进,并开发新的指标,以提高胰腺手术的安全性和卓越性.
- 需要进行系统审查,以综合当前关于该领域指标开发和验证的知识.
研究的目的:
- 系统地审查和分类用于胰腺外科手术基准测试的指标.
- 分析这些质量指标的开发和验证方法.
- 识别指标在结构,流程和结果领域的分布.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 在PubMed,Scopus和Web of Science数据库中进行了搜索,直到2024年2月.
- 用Donabedian模型 (结构,过程,结果) 提取和分类数据.
主要成果:
- 包括34项研究,其中20项是指数开发,14项是验证.
- 总共有234个指标被确定,其中185个被纳入分析.
- 度量分布:33个结构,79个过程,73个结果;分别在12个,26个和26个研究中报告.
结论:
- 在胰腺外科手术的度量开发方法中存在显著的异质性.
- 在不同质量指标之间观察到不同程度的共识.
- 这一审查为未来的研究提供了信息,以提高基准测试和外科治疗的卓越性.
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