Evaluation of Healthcare Quality by Comparison of Clinical Indicators Among Hospitals

通过医院临床指标比较评价医疗质量

基本信息

批准号：
14370772
负责人：
UMESATO Yoshimasa
金额：
$ 6.72万
依托单位：
Nihon University School of Medicine
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2004
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14370772/
关键词：
Clinical Indicator Performance Measure Japan Minimum Data set Outlier Analysis Pressure ulcer クリニカルインディケーター

项目摘要

Basic Clinical Indicators, which could be used at Japanese Hospitals, are developed by researching those of foreign countries. In the mean time, the following was explored : the occurrence of pressure ulcers was surveyed, a comparison among Hospitals was performed, and the problems to use the occurrence of pressure ulcers as a Hospital care indicator were discussed. Through these trials, conclusions regarding the use of clinical indicators as Hospital performance measures are found as follows :1.Effective clinical indicators are not the same among Hospitals because of the different emphasis and function of each Hospital. A set of Basic Clinical Indicators should be developed from which a Hospital can select useful indicators from.2.The manner of calculation of the same indicator should not be different among Hospitals so that the comparisons of indicators be accurate. The method of calculation of indicators should be strictly defined and standardized.3.To correct necessary data to calculate indicators retrospectively would be too much work. Preparing a standardized data form which could be used daily at the work site is recommended for measuring the care quality routinely.4.A data set, which is required to submit for reimbursement under DPC(Diagnosis Procedure Combination), is one of the standardized discharge data set. It seems useful to systematize the certain indicators that can be derived from these data. On the other hand, the data set should be planned to consider the calculation of performance measures.Electrical Medical Record System could be one of the strongest tools for correcting the necessary data to calculate performance measures for the improvement of care quality and efficiency.

通过研究外国的基本临床指标，可以在日本医院使用。同时，探讨了以下内容：调查了压力溃疡的发生，对医院进行了比较，并讨论了使用压力溃疡作为医院护理指标的问题。通过这些试验，关于使用临床指标作为医院绩效指标的结论如下：1。有效的临床指标在医院中不相同，因为每个医院的重点和功能都不同。应该制定一组基本的临床指标，医院可以从中选择有用的指标。2。相同指标的计算方式在医院之间不应有所不同，以便指标的比较准确。计算指标的计算方法应严格定义和标准化。3。要纠正必要的数据以追溯计算指标将是太多的工作。建议在工作现场每天使用标准化的数据表，以便通常地测量护理质量。4.A数据集是根据DPC（诊断程序组合）提交以报销的数据集，是标准化的排放数据集之一。系统化可以从这些数据中得出的某些指标似乎有用。另一方面，应计划考虑计算绩效指标的数据集。电机病历系统可能是校正必要数据以计算绩效指标以提高护理质量和效率的最强工具之一。