新的患者安全分类和以患者为中心的结果的有效性
Alex S Luke1, Anastasia Jermihov1, Leanna Wynne2
1Department of Otolaryngology-Head and Neck Surgery, San Antonio Uniformed Services Health Education Consortium, San Antonio, Texas, USA.
The Laryngoscope
|September 1, 2025
概括
对不良事件的新质量改善分类系统 (QICS) 显示出高可靠性,与Clavien Dindo分类 (CDC) 相似. 这种经过验证的系统适用于耳鼻喉科,包括门诊机构.
科学领域:
- 医疗分类系统
- 患者安全
- 耳鼻喉科 - 头部和部手术
背景情况:
- 准确报告不良事件对于患者的安全和质量改善至关重要.
- 现有的分类系统在某些临床环境中可能存在局限性,例如门诊护理.
- 耳鼻喉科和部外科寻求一个更全面的不良事件报告系统.
研究的目的:
- 验证一种新的分类系统,即质量改善分类系统 (QICS),用于报告不良事件.
- 与已建立的Clavien Dindo分类 (CDC) 相比,评估QICS之间的协议.
- 确定QICS是否适用于耳鼻喉学实践.
主要方法:
- 在耳鼻喉科和部手术中对2019-2023年的211个不良事件进行了横断审查.
- 三名评估人员 (一名主治医生,两名住院医生) 通过CDC和QICS对病例进行了分类.
- 使用克朗巴赫的α和弗莱斯的 κ,量化了测量器之间的可靠性.
主要成果:
- 无论是CDC (α=0. 902, κ=0. 578) 还是QICS (α=0. 963, κ=0. 799) 都表现出强大的互评值可靠性.
- QICS显示出比疾病控制中心更高的一致性.
- 新的QICS系统在对不良事件进行分类方面表现出卓越的可靠性.
结论:
- 质量改善分类系统 (QICS) 是对不良事件进行分类的可靠方法.
- 在这项研究中,QICS的可靠性与Clavien Dindo分类 (CDC) 的可靠性相比较.
- QICS非常适合耳鼻喉科,为住院和门诊患者提供扩展的分类功能.
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