STAT分类是我们能做的最好的吗？

Q2 Medicine

Pediatric Cardiac Surgery Annual Pub Date : 2025-01-01 DOI:10.1053/j.pcsu.2025.02.002

R.D.B. Jaquiss MD

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引用次数: 0

摘要

病例组合描述和调整是质量评估和改进的基础。在过去的20年里，当前的STAT系统不断发展和改进。虽然不完美，但以目前的形式，它已经并将成为帮助指导和评估进展的非常有用的工具。本文简要回顾了现行制度的起源和演变。讨论了其使用中的缺陷和固有的弱点，并承认了继续修订和更新的必要性。建议对其作出“目前足够好”的简易判断。

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Is the STAT Classification the Best That We Can Do?

Case-mix description and adjustment is foundational for quality assessment and improvement. The current STAT system has evolved and improved over the past 2 decades. While imperfect, in its present form it has been and will be immensely useful as a tool to help guide and assess progress. Herein is presented an abbreviated review of the origin and evolution of the current system. Pitfalls in its use and inherent weaknesses are discussed, and the need for continued revisions and updates is acknowledged. A summary judgement of “good enough for now” is suggested.

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来源期刊

Pediatric Cardiac Surgery Annual Medicine-Surgery

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： The Pediatric Cardiac Surgery Annual is a companion to Seminars in Thoracic and Cardiovascular Surgery . Together with the Seminars, the Annual provides complete coverage of the specialty by focusing on important developments in pediatric cardiac surgery. Each annual volume has an expert guest editor who invites prominent surgeons to review the areas of greatest change in pediatric cardiac surgery during the year. Topics include 1) Complete Atrioventricular Canal; 2) New Concepts of Cardiac Anatomy and Function -- The Helical Heart; 3) Valve Reconstruction (Replacement) in Congenital Heart Disease; 4) Evolving Developments in Congenital Heart Surgery.