What have we learned about how to measure quality of care for patients with community-acquired pneumonia?

Mark L Metersky, Susan L Abend, Thomas P Meehan
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引用次数: 6

Abstract

The most commonly used measures of quality of care for hospitalized pneumonia patients are process measures as opposed to outcome measures.For a process measure to be useful in assessing quality of care, it must be linked to a desired outcome. For patients hospitalized with pneumonia, the obtaining of blood cultures, the timely use of appropriate antibiotics, and the delivery of the influenza and pneumococcal vaccines are the process measures most widely used for assessing quality of care in relation to clinical outcomes. The admission decision and the length of time that intravenous antibiotics are used are process measurements that directly affect financial outcomes.

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关于如何衡量社区获得性肺炎患者的护理质量,我们了解了什么?
住院肺炎患者最常用的护理质量衡量标准是过程衡量标准,而不是结果衡量标准。为了使过程度量在评估护理质量方面有用,它必须与期望的结果联系起来。对于住院的肺炎患者,获得血培养、及时使用适当的抗生素以及提供流感和肺炎球菌疫苗是评估与临床结果相关的护理质量最广泛使用的过程措施。入院决定和静脉注射抗生素的使用时间长短是直接影响财务结果的过程测量。
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