耳鼻喉科-头手术的质量指标:一个范围的审查
Phillip Staibano1,2, Shireen Samargandy3, Justin Cottrell3
1Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada.
概括
耳鼻喉科-头手术 (OHNS) 的质量指标正在出现,以改善患者的护理. 研究表明,需要更好地开发,报告和验证这些关键的医疗保健质量指标.
科学领域:
- 耳鼻喉科 - 头部和部外科 (OHNS)
- 改善医疗保健质量 改善医疗保健质量
- 医疗信息学 医疗信息学
背景情况:
- 质量指标对于评估医疗保健提供至关重要.
- 耳鼻喉科 - 头部手术 (OHNS) 的专业正在越来越多地采用经验方法来评估质量.
- 需要标准化的质量指标来提高OHNS内的患者护理.
研究的目的:
- 在OHNS的所有子学科中,系统地审查有关开发新型质量指标的现有文献.
- 评估研究的数量和方法质量,为OHNS创建新的质量指标.
主要方法:
- 在MEDLINE,EMBASE,Web of Science和Cochrane图书馆进行了全面的数据库搜索,截至2024年10月.
- 在重复选和全文审查后,包括在任何OHNS子专业中开发质量指标的研究.
- 通过研究和评估 (AIRE) 评估指标的工具被用于质量评估.
主要成果:
- 在10592项已识别的研究中,只有25项专注于开发新的OHNS质量指标.
- 关注的重点领域包括耳科/神经病学,儿科OHNS和头手术,面部塑料,鼻科,头骨底部和喉科的研究有限.
- 德尔菲共识是常见的,但患者的参与是罕见的,报告很差,验证往往缺乏;结果指标比结构或过程指标更为普遍.
结论:
- 质量指标在OHNS中具有标准化和提升患者护理的巨大潜力.
- 未来的研究应该优先考虑结构和过程指标的开发和验证,以及报告标准和小组组成的改进.
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