开发一套关键绩效指标,用于外科手术期间输血红细胞
Akshay Shah1,2, Hayley G Evans3, Antony J R Palmer4,5
1Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
BJA open
|February 19, 2025
概括
这项研究确定了28个关键绩效指标 (KPI),用于在手术期间监测红细胞 (RBC) 输血. 选择了9个潜在的关键关键指标,用于未来的测试,以改善患者护理和输血安全.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 临床实践指南 临床实践指南
- 患者安全 患者安全
背景情况:
- 在外科手术期间,红细胞输血实践表现出显著的差异.
- 关键绩效指标 (KPI) 对于标准化护理和提高临床结果至关重要.
- 电子医疗记录为测量输血相关的关键关键指标提供了潜力.
研究的目的:
- 从电子健康记录中确定外科手术期间红细胞输血的可测量的关键关键指标.
- 为评估和改进输血实践建立一套标准化指标.
- 在手术红细胞输血中为质量改进倡议提供信息.
主要方法:
- 一个三阶段的过程,包括范围审查和修改后的RAND共识过程.
- 一个多学科小组根据重要性和可行性评估了潜在的关键关键指标.
- 从文献,临床指南和专家共识中确定了候选的关键关键指标.
主要成果:
- 确定了28个候选关键关键指标,涵盖了外科手术期间红细胞输血途径.
- 焦点领域包括输血决策,安全性和临床结果 (例如停留时间,感染,死亡率).
- 在评估重要性和可行性后,选择了9个潜在的关键关键指标进行未来验证.
结论:
- 一种系统的方法产生了28个关键关键指标,用于评估,监测和改善外科手术期间红细胞输血.
- 需要进一步的研究来验证这些关键关键指标的外部使用和基准测试.
- 确定的关键关键指标为标准化和增强输血护理提供了基础.
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