...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Trials >Rationale and design of individualized quality improvement based on the Computer Analysing system to improve Stroke management quality Evaluation (CASE): a multicenter historically controlled study
【24h】

Rationale and design of individualized quality improvement based on the Computer Analysing system to improve Stroke management quality Evaluation (CASE): a multicenter historically controlled study

机译：基于计算机分析系统改善行程管理质量评价的个性化质量改进的理由与设计（案例）：多中心历史上对照研究

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND:Guideline-based medical care has been identified to improve outcomes in stroke. However, data acquisition and medical quality management during hospital stay still need to be improved in China. We have developed a computer-based medical data collecting system, together with automated calculation of key performance indicators (KPIs) and regular individualized education, and thus aim to explore whether it can improve the medical care quality of acute ischemic stroke (AIS) during hospital stay in stroke centers.METHODS:The individualized quality improvement based on the Computer Analysing system to improve Stroke management quality Evaluation (CASE) trial is a prospective, multicenter, historical control study among 30 stroke centers in China. In this trial, the data is directly extracted from the saved original medical record of each AIS patient during hospital stay, regardless of different Electronic Medical Record System (EMRS) in each center. Then, the automated calculation of KPIs and the regular education via teleconference per month allow the clinicians to examine the causes of non-compliance of guideline-based care and develop programs to decrease their frequency.DISCUSSION:We compare KPIs between pre-intervention stage and post-intervention stage (without or with education) among stroke centers. If proved effective, this approach might be generalized around China and even worldwide, where a unified EMRS is difficult to be applied and in-patient care needs to be improved.TRIAL REGISTRATION:ClinicalTrials.gov NCT03684629 . Registered on 9 December 2018. Retrospectively registered.
机译：背景：已识别基于指南的医疗保健，以改善中风的结果。但是，在中国住院期间的数据采集和医疗质量管理仍然需要在中国得到改善。我们开发了一种基于计算机的医疗数据收集系统，以及自动计算关键绩效指标（KPI）和常规个性化教育，并旨在探讨其在医院期间提高急性缺血性卒中（AIS）的医疗保健品质留在中风中心。方法：基于计算机分析系统的个性化质量改进，提高行程管理质量评价（案例）试验是中国30个中风中心之间的前瞻性，多中心历史控制研究。在该试验中，无论每个中心的不同电子医疗记录系统（EMRS）如何，都将从每个AIS患者的保存原始医疗记录直接提取数据。然后，每月通过电话会议自动计算KPI和常规教育允许临床医生审查非遵守基于指南的护理和制定计划的原因，以减少其频率。探讨：我们在预干预阶段之间比较KPI和干预后阶段（没有或与教育）之间的中风中心。如果证明有效，这种方法可能会在中国甚至全球均推广，甚至难以应用统一的EMR，并且需要改善患者护理。注册：ClinicalTrials.gov NCT03684629。 2018年12月9日注册。回顾性注册。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号