Clinical Performance Measures for Neurocritical Care: A Statement for Healthcare Professionals from the Neurocritical Care Society
Clinical Performance Measures for Neurocritical Care: A Statement for Healthcare Professionals from the Neurocritical Care Society
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DOI：
10.1007/s12028-019-00846-w
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发表时间：
2019-11-22
影响因子：
3.5
通讯作者：
Hemphill, J. Claude, III
中科院分区：
文献类型：
--
作者：
Livesay, Sarah;Fried, Herbert;Hemphill, J. Claude, III
背景绩效指标是衡量临床护理质量的工具。到目前为止，还没有一套有组织的神经重症监护的性能指标。方法：神经重症监护协会召集了一个多学科的写作委员会，以制定相关的绩效指标，神经重症监护提供住院设置。使用了一种正式的方法，包括对13种主要神经重症监护条件的医学文献进行系统综述，从临床实践指南中提取高级别建议，并制定测量规范表。结果共审查了50，257篇引文，其中150篇包含被认为适合作为神经重症监护绩效指标的强烈建议。在九种不同的条件和两个神经重症监护过程的护理二十一项措施。结论这是第一个有组织的神经重症监护性能测量集。下一步应侧重于实地测试，以完善衡量标准和评估执行情况。
Background Performance measures are tools to measure the quality of clinical care. To date, there is no organized set of performance measures for neurocritical care. Methods The Neurocritical Care Society convened a multidisciplinary writing committee to develop performance measures relevant to neurocritical care delivery in the inpatient setting. A formal methodology was used that included systematic review of the medical literature for 13 major neurocritical care conditions, extraction of high-level recommendations from clinical practice guidelines, and development of a measurement specification form. Results A total of 50,257 citations were reviewed of which 150 contained strong recommendations deemed suitable for consideration as neurocritical care performance measures. Twenty-one measures were developed across nine different conditions and two neurocritical care processes of care. Conclusions This is the first organized Neurocritical Care Performance Measure Set. Next steps should focus on field testing to refine measure criteria and assess implementation.