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The use of a conceptual model and related indicators to evaluate quality of health care in intensive care units

机译:使用概念模型和相关指标评估重症监护病房的医疗质量

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An analysis of health care quality needs to collectively recognize all the aspects differently connected and relate to the technical level of care and interaction of physicians with the patient. Though quality indicators are usually derived from clinical data sets collected in the hospital information systems, the article focuses on specific area of intensive care units (ICUs). A conceptual model is presented to measure health system quality derived from the framework by Donabedian (Ref. 1). The model is studied using a case study of a post operative ICU heart surgery in an Italian Hospital. The postoperative ICU was evaluated by taking into account the length of stay (LoS), as an indicator. The data was validated using the DMAIC approach and the results have been discussed. Some suggestions to improve and optimize LoS costs have been suggested. (21 refs.)
机译:对卫生保健质量的分析需要共同认识到各个方面的不同联系,并且涉及到医疗技术水平以及医生与患者的互动。尽管质量指标通常来自医院信息系统中收集的临床数据集,但本文重点关注重症监护病房(ICU)的特定领域。提出了一个概念模型来衡量Donabedian从该框架得出的卫生系统质量(参考文献1)。使用意大利医院术后ICU心脏手术的案例研究了该模型。通过考虑住院时间(LoS)来评估术后ICU。使用DMAIC方法验证了数据,并讨论了结果。已经提出了一些改善和优化LoS成本的建议。 (21篇)

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