Objective: Since 1992, 7 European neurophysiologists have participated in the ESTEEM project concerned with improvements in electrodiagnostic medicine. This s tudy assesses whether the collaboration that includes peer...Objective: Since 1992, 7 European neurophysiologists have participated in the ESTEEM project concerned with improvements in electrodiagnostic medicine. This s tudy assesses whether the collaboration that includes peer review medicalaudit h as influenced the involved physicians’electrodiagnostic criteria for polyneurop athy (PNP) diagnosing and classification.Methods: Two sets of each physician’s PNP examinations performed early and late in the study were examined for changes in(1) number of studies with abnormal electrophysiological findings required fo r diagnosing PNP, and (2) agreement between the classifications given by the ind ividual physicians and the peer review group. Results: The average number of abn ormal motor nerve segments per patient increased from 4.6 to 6.4 during the stud y. Although most individual changes were minor,the second set of examinations sh owed an increased homogeneity among the physicians in the number of abnormal motor nerve segment s and abnormal F wave studies, and a tendency towards increased homogeneity in t he number of abnormal sensory nerve segments. There was also an increased agreem enton pathophysiological PNP classification in the second set of examinations co mpared to the first set. Conclusions: The participation in the ESTEEM project se ems to have impacted the physicians’clinical routine, possibly as they have acc ustomed themselves to apply criteria more strictly. Significance: This study sup port that international collaboration is a useful step towards improvements in e lectrodiagnostic medicine.展开更多
应用CN-DRGs分组器对某医院2022年1至12月出院患者病案首页信息进行分析得出病例组合数、病例组合指数、时间消耗指数及费用消耗指数4个评价指标基础数据,并综合运用逼近理想解排序法(technique for order preference by similarity to ...应用CN-DRGs分组器对某医院2022年1至12月出院患者病案首页信息进行分析得出病例组合数、病例组合指数、时间消耗指数及费用消耗指数4个评价指标基础数据,并综合运用逼近理想解排序法(technique for order preference by similarity to an ideal solution,TOPSIS)对各出院科室质量进行综合评价。探讨疾病诊断相关组(diagnosis related groups,DRGs)与TOPSIS相结合在医疗质量评价中的应用。根据评价结果,综合排序前5位的科室分别为重症医学科、关节外科、胸外科、脊柱外科、创伤骨科,综合排序后5位的科室分别为中医科、妇科、肛肠科、眼科、产科。结果显示DRGs与TOPSIS相结合应用,可较为准确地反应不同类型科室间在疾病收治能力、病种难易、时间及费用效率情况,推进各科室对标高质量发展,持续提高诊疗服务能力。展开更多
文摘Objective: Since 1992, 7 European neurophysiologists have participated in the ESTEEM project concerned with improvements in electrodiagnostic medicine. This s tudy assesses whether the collaboration that includes peer review medicalaudit h as influenced the involved physicians’electrodiagnostic criteria for polyneurop athy (PNP) diagnosing and classification.Methods: Two sets of each physician’s PNP examinations performed early and late in the study were examined for changes in(1) number of studies with abnormal electrophysiological findings required fo r diagnosing PNP, and (2) agreement between the classifications given by the ind ividual physicians and the peer review group. Results: The average number of abn ormal motor nerve segments per patient increased from 4.6 to 6.4 during the stud y. Although most individual changes were minor,the second set of examinations sh owed an increased homogeneity among the physicians in the number of abnormal motor nerve segment s and abnormal F wave studies, and a tendency towards increased homogeneity in t he number of abnormal sensory nerve segments. There was also an increased agreem enton pathophysiological PNP classification in the second set of examinations co mpared to the first set. Conclusions: The participation in the ESTEEM project se ems to have impacted the physicians’clinical routine, possibly as they have acc ustomed themselves to apply criteria more strictly. Significance: This study sup port that international collaboration is a useful step towards improvements in e lectrodiagnostic medicine.
文摘应用CN-DRGs分组器对某医院2022年1至12月出院患者病案首页信息进行分析得出病例组合数、病例组合指数、时间消耗指数及费用消耗指数4个评价指标基础数据,并综合运用逼近理想解排序法(technique for order preference by similarity to an ideal solution,TOPSIS)对各出院科室质量进行综合评价。探讨疾病诊断相关组(diagnosis related groups,DRGs)与TOPSIS相结合在医疗质量评价中的应用。根据评价结果,综合排序前5位的科室分别为重症医学科、关节外科、胸外科、脊柱外科、创伤骨科,综合排序后5位的科室分别为中医科、妇科、肛肠科、眼科、产科。结果显示DRGs与TOPSIS相结合应用,可较为准确地反应不同类型科室间在疾病收治能力、病种难易、时间及费用效率情况,推进各科室对标高质量发展,持续提高诊疗服务能力。
