Amin Talebpour, Homayoun Sadeghi-Bazargani, Ali Janati, Fariba Pashazadeh, Masoumeh Gholizadeh
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引用次数: 0
Abstract
Given limited resources, it is crucial to establish a concise set of performance indicators for evaluating and tracking a hospital's performance. This study aimed to comprehensively investigate the existing evidence related to the identification, classification, and utilization of key performance indicators (KPIs) in the context of hospitals. This systematic scoping review was conducted following the Joanna Briggs Institute (JBI) methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-SCR) extension. This review encompassed studies focusing on the evaluation of hospitals' performance, including those that introduced and implemented key indicators. The search, covering published and unpublished studies, spanned from October 25, 2022 (updated in December 2023), using databases, such as MEDLINE (via PubMed), Scopus, Web of Science, Emerald, ProQuest, and Google Scholar. Of 2,316 records screened by titles and abstracts, 70 complete reports were assessed. Among them, 46 studies were found to be irrelevant, and eight were included in the review studies and thus omitted. Finally, 16 studies were included in this research. The 10 most frequently examined KPIs in these studies followed this order: Average length of stay, rate of nosocomial infections, patient satisfaction rate, mortality rate, bed occupancy rate, incidents/errors, accidents/adverse events, waiting time, readmission rate, and mean cost per patient. The average length of stay and the rate of nosocomial infections emerged as the most frequently scrutinized indicators. The findings also showed that there is a higher level of emphasis placed on the dimensions of effectiveness and efficiency.
鉴于资源有限,必须建立一套简明的绩效指标,以评估和跟踪医院的绩效。本研究旨在全面调查医院背景下关键绩效指标(kpi)的识别、分类和使用相关的现有证据。本系统的范围审查是按照乔安娜布里格斯研究所(JBI)的方法和范围审查系统审查和荟萃分析的首选报告项目(PRISMA-SCR)扩展进行的。这一审查包括侧重于医院绩效评价的研究,包括那些引入和实施关键指标的研究。搜索涵盖了已发表和未发表的研究,从2022年10月25日开始(更新于2023年12月),使用的数据库包括MEDLINE(通过PubMed)、Scopus、Web of Science、Emerald、ProQuest和谷歌Scholar。在按标题和摘要筛选的2,316份记录中,评估了70份完整的报告。其中46项研究被发现不相关,8项研究被纳入综述研究,因此被省略。最后,本研究共纳入16项研究。这些研究中最常检查的10个kpi如下:平均住院时间、医院感染率、患者满意度、死亡率、床位占用率、事故/错误、事故/不良事件、等待时间、再入院率和每位患者的平均费用。平均住院时间和医院感染率成为最常被审查的指标。调查结果还表明,人们更加重视有效性和效率的维度。