应急部门绩效评估推的绩效测量工具中的结果指标:系统性审查
Tytti Kristiina Toukola1, Reija Katri Kyllikki Mertanen2, Johanna Marjut Kaartinen3
1Department of Public Health, University of Helsinki, Helsinki, Finland. tytti.toukola@helsinki.fi.
评估急救部门 (ED) 的表现缺乏标准协议. 这次审查发现,对结果指标没有达成共识,这阻碍了可靠的ED绩效评估和改进工作.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高质量
- 紧急医疗 紧急医疗
背景情况:
- 没有标准化的协议来衡量整个急救部门 (ED) 的整体性能.
- 现有的ED测量工具需要对其结果措施进行评估.
研究的目的:
- 根据结果措施,系统地评估EDs的现有测量工具.
- 识别和分析用于评估整体ED绩效的结果指标.
主要方法:
- 按照PRISMA指南进行了全面的系统文献审查.
- 在Medline和Scopus数据库中进行了搜索,使用ED性能测量工具的特定资格标准.
- 包含了15篇独特的文章,重点是用多个指标评估ED整体性能的工具.
主要成果:
- 审查了15篇文章,其中德尔菲方法在识别绩效指标方面很受欢迎.
- 十篇文章定义了结果指标,这些指标在不同研究中存在很大差异.
- 在五个维度中确定了46个单一的结果指标:重新参加,死亡率,错误/并发症,生存率和患者体验. 重复出席是最常见的.
结论:
- 缺乏对结果指标的共识,阻碍了可靠的ED绩效评估.
- 需要对ED结果指标进行更具体的定义和分类.
- 改进的指标对于证明改进行动的合理性和评估医疗保健改革对ED操作的影响至关重要.
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