[DEVELOPMENT AND IMPROVEMENT OF THE NATIONAL PLAN FOR QUALITY INDICATORS - COMPARISON OF 2016 AND 2020 RESULTS].

Harefuah Pub Date : 2022-11-01
Yaron Niv
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Abstract

Introduction: The National Plan for Quality Indicators of hospitals was established in 2012. The aim of the plan was to improve and advance the quality of medical treatment by measuring, comparison of hospitals and publication of the achievements to the public. Aims: To evaluate and compare the quality indicators between 2016 and 2020, characterize the different types and their contribution to the quality of patient care.

Methods: We calculated the proportion of indicators in every category and medical fields. These data were compared between 2016 and 2020 with Chi-squared tests using SAS software. We compared the success of hospitals over this period over 25 indicators shared by them, when details of the numerator and denominator were available.

Results: No significant changes were found in the relative portion of cardiology and pediatrics indicators. An increase was demonstrated in obstetrics, neonatology and psychiatry, and a decrease in neurology, geriatrics and surgery. An increase was also found in result indicators, communication and coordination and in public health. The success rate was higher in 2020 with an increase of 26%. In only 2 indicators, measurement of head circumference in neonates and nutritional assessment in chronic ventilated patients, the success rate was lower in 2020, probably due to significant increase in their required aims and the corona pandemic.

Conclusions: The success rate of the quality indicators was significantly higher in 2020 in spite of an annual increase in their aims. Continuous refreshment of the national plan and the addition of safety indicators to the national plan will bring improvement in the quality and safety of patient care.

[制定和完善国家质量指标计划——2016年和2020年结果比较]。
《国家医院质量指标规划》于2012年制定。该计划的目的是通过衡量、比较医院和向公众公布成果来改善和提高医疗质量。目的:对2016年至2020年的质量指标进行评价和比较,表征不同类型及其对患者护理质量的贡献。方法:计算各分类、各医学领域指标占比。使用SAS软件对2016年和2020年的数据进行卡方检验。我们比较了医院在这段时间内的成功情况,这些医院共有25个指标,其中分子和分母的细节是可用的。结果:心脏科、儿科相关指标未见明显变化。产科、新生儿科和精神病学有所增加,神经病学、老年病学和外科有所减少。结果指标、沟通和协调以及公共卫生方面也有所增加。2020年的成功率更高,增加了26%。仅在新生儿头围测量和慢性通气患者营养评估两项指标中,2020年的成功率较低,可能是由于所需目标的显著增加和冠状病毒大流行。结论:尽管质量指标的目标逐年增加,但2020年质量指标的成功率仍显著提高。国家计划的不断更新和国家计划中安全指标的增加将提高病人护理的质量和安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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