重大事故医疗管理绩效指标——质量控制的可能工具?

A. Rüter, P. Örtenwall, T. Wikström
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引用次数: 34

摘要

目的:目的是确定将一套拟议的绩效指标应用于先前公布的重大事件报告时的结果。方法:提出一套20个不同绩效指标。这些指标应用于KAMEDO组织发布的13份重大事件报告。结果:报告最多的问题是现场指挥控制(11/13),其次是沟通和战略层面的指挥控制。在已发表的报告中,有25%的报告提供了足够的信息来应用绩效指标,其中67%的报告达到了目标和/或目的。结论:重大事件和灾害医疗管理绩效指标在一定程度上适用于回顾性研究。如果报告采用不同的模板,绩效指标可能是评估医疗反应的一种工具。需要进行进一步的研究,以确认使用哪些指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Performance Indicators for Major Incident Medical Management – A Possible Tool for Quality Control?
Objective: The objective was to determine the outcome when applying a set of proposed performance indicators on previously published reports from major incidents. Methods: A set of 20 different performance indicators were proposed. These indicators were applied to 13 reports from major incidents issued by the KAMEDO organization. Results: The most frequently reported problems were command and control at the scene (11/13) followed by communication and command and control at the strategic level. In 25% of the published reports there was enough information available to apply the performance indicators, and in these the goal and/or objective was met in 67%. Conclusion: Performance indicators for the medical management of major incidents and disaster can to a limited extent be applicable to retrospective studies. Performance indicators might be a tool for evaluating the medical response if reports are made with a different template. Further studies are needed in order to validate which indicators to use.
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