监管产妇单位评级与临床结果和实践措施的比较:使用例行收集数据的观察性研究
Ian Henderson1,2, Ipek Gurol-Urganci1,2, Alissa Frémeaux2
1Department of Health Services Research & Policy, London School of Hygiene & Tropical Medicine, London, UK.
概括
护理质量委员会 (CQC) 对产科单位的评级与患者的治疗结果或临床实践没有相关性. 迫切需要改进这些基于检查的评级,以更好地反映现实世界的护理质量.
科学领域:
- 医疗保健质量评估 医疗保健质量评估
- 孕产妇和新生儿健康结果
- 医疗服务研究 医疗服务研究
背景情况:
- 护理质量委员会 (CQC) 为英国的产妇服务提供了基于检查的评级.
- 了解这些评级与实际临床结果之间的关系对于质量改进至关重要.
研究的目的:
- 将个别产科单位的CQC评级与关键临床结果和实践措施进行比较.
- 评估CQC评级的有效性,反映产妇护理的质量.
主要方法:
- 一项观察性研究利用来自英国NHS的相关国家产科和行政医院数据.
- 分析包括在2018年4月至2019年3月期间按期分娩的单胎孕妇.
- 层次模型和经验贝叶斯估计,根据案例混合和单位特征进行调整,用于比较.
主要成果:
- 对501,719例分娩的分析显示,在CQC评级 (优秀,良好,需要改善/不充分) 中,严重的孕产妇发病率,严重的新生儿发病率,非自发分娩率或产后剖腹产率没有显著变化.
- 统计分析显示,单位评级与测量的临床结果或实践指标之间没有关联.
结论:
- 目前CQC对产科单位的检查信息等级与临床结果或实践措施无关.
- 迫切需要提高产妇服务检查的准确性和相关性,以及由此产生的评级.
- 调查结果突出了监管检查评估与医疗保健质量的客观衡量之间的脱节.
相关概念视频
Regression Toward the Mean
6.2K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.2K
Nursing Evaluation
3.1K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.1K
Guidelines for Writing Outcome
2.6K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.6K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
101
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
101
Healthcare Associated Infections II: Preventive Measures
2.3K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.3K
Methods of Documentation VI: Case Management Model
537
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
537


