国内外重症监护单元医疗质量指标比较研究

A Comparative Study of Medical Quality Indicators in ICU in China and Abroad

目的通过系统梳理国内外重症监护单元(ICU)医疗质量指标,并进行比较分析,为我国ICU医疗质量评价提供参考。方法政策梳理与文献回顾法。结果ICU医疗质量指标开发包括相关组织或部门制定和研究学者自行拟定。过程指标和结果指标是国内外普遍关注的指标,特别是三大感染率和死亡率相关指标;结构指标的关注情况存在差异。ICU医疗质量指标相关研究多为应用研究,缺少评价研究。结论为提升我国ICU医疗质量,应统一指标制订的理论依据和分类标准,拓宽指标类别,提高测量精度,落实指标培训工作,建立动态管理机制,并定期优化指标体系。

Objective To systematically sort out medical quality indicators in intensive care unit(ICU)in China and abroad and conduct comparative analysis,so as to provide reference for the evaluation of ICU medical quality in China.Methods Policy review and literature review methods were used.Results The development of ICU medical quality indicators included the formulation by relevant organizations or departments and the formulation by researchers themselves.Process indicators and outcome indicators were widely concerned,especially the three major indicators related to infection rate and mortality.There was difference in the attention paid to structural indicators.The research on ICU quality index was mostly applied research,but lack of evaluation research.Conclusion In order to improve the medical quality of ICU in China,it is necessary to unify the theoretical basis and classification criteria of indicators,broaden the categories of indicators,improve the measurement accuracy,implement index training,establish a dynamic management mechanism,and optimize the index system regularly.