在美国外科医生学院的认证计划中评估初始网站访问的合格率
Brett A Johnson1,2, Geoffrey G Hobika1,3, Erica McNamara1
1Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL.
Journal of the American College of Surgeons
|June 11, 2025
概括
许多医院最初未能获得美国外科医生学院的认证,但通过补救措施得到改善. 这突出了认证的重点.
科学领域:
- 改善外科手术的质量.
- 医疗保健认证标准 医疗保健认证标准
- 患者安全倡议 患者安全倡议
背景情况:
- 美国外科医生学院 (ACS) 认证计划为外科质量制定了基于证据的标准.
- 有限的数据存在于ACS现场访问后的初始通过率和修复效率.
- 本研究评估了最初的ACS认证结果,以了解其在质量验证与改进中的作用.
研究的目的:
- 评估接受ACS现场考察的医院的初始认证合格率.
- 确定ACS认证主要是验证现有标准还是推动系统性质量改进.
- 确定影响ACS认证第一次成功的因素.
主要方法:
- 使用ACS质量数据库 (2017-2023) 的回顾性队列研究.
- 包括在七个ACS质量计划中首次接受全面认证访问的医院.
- 对初始通过率,再评估结果和域/标准级通过率的分析;使用多变量后勤回归.
主要成果:
- 833家医院中有61%通过了最初的ACS认证;通过率因项目而异 (31%-86%).
- 94%的最初失败的医院在重新评估后获得认证.
- 在"人员和服务资源"和"患者护理:期望和协议"领域出现了常见的缺陷.
- 之前的系统级认证经验与更高的首次通过率相关 (OR: 1.69).
结论:
- 许多医院面临着满足ACS患者安全和质量标准的初始挑战.
- 修复是有效的,大多数医院最终获得认证.
- ACS认证是手术护理系统质量改善的重要驱动力.
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