哪些绩效指标在全球范围内用于评估部骨折患者的医疗保健? :一种混合方法的系统审查
Veena Mazarello Paes1, Andrew Ting1,2, James Masters1
1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford Trauma and Emergency Care, University of Oxford, Oxford, UK.
Bone & joint open
|March 5, 2025
概括
关节骨折护理的绩效指标在全球范围内存在差异,不一致的定义阻碍了质量评估. 标准化这些指标对于改善全球患者的治疗结果和医疗保健效率至关重要.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 整形外科手术的结果
- 系统审查方法论 系统审查方法论
背景情况:
- 部骨折护理质量越来越多地使用绩效指标进行评估.
- 这些指标及其定义的全球变化使标准化评估复杂化.
- 需要全面了解当前的做法,以确定需要改进的领域.
研究的目的:
- 系统地绘制和分析全球用于关节骨折护理的绩效指标.
- 在不同的医疗保健系统中识别和描述这些指标的定义和变化.
- 突出研究方面的差距,特别是来自低收入和中等收入国家的差距.
主要方法:
- 一个混合方法的系统文献综述.
- 搜索了12个电子数据库和其他相关研究的来源.
- 使用混合方法评估工具评估方法质量.
- 在PROSPERO注册的协议 (CRD42023417515).
主要成果:
- 包括来自34个国家的171项研究,其中大多数来自高收入国家.
- 在绩效指标及其定义中观察到显著的异质性 (例如",早期"手术",动员").
- 常见的指标包括手术的时间 (83%),正确年龄检查 (17%),早期动员 (34%) 和骨健康评估 (24%).
- 定性数据揭示了教育,角色明确性和护理途径集成的主题.
结论:
- 对于关节骨折护理存在各种各样的绩效指标,但定义和值缺乏标准化.
- 来自低收入和中等收入国家的证据特别稀缺.
- 进一步的研究对于标准化指标和评估它们对患者结果和成本的影响至关重要.
更多相关视频
06:58Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
Published on: August 17, 2017
9.9K
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.5K
相关概念视频
01:26Traditional Level Of Health Care System
2.6K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.6K
01:29Documentation in Long-Term and Home Healthcare Setting
868
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
868
01:27Fractures: Bone Repair
2.9K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
2.9K