[创伤医学中心质量控制关键指标专家共识]。

Q3 Medicine 北京大学学报(医学版) Pub Date : 2024-06-18
Wei Huang, Tingmin Xu, Tianbing Wang, Baoguo Jiang
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引用次数: 0

摘要

创伤是全球公认的重大公共卫生挑战。创伤是 45 岁以下人群死亡的主要原因,也是中国城市和农村人口死亡的五大原因之一。这一严峻的现实凸显了建立高效的创伤救治体系的紧迫性,而这对于大幅提高患者的存活率至关重要。一个完善的创伤救治体系不仅能保证患者及时得到专业的医疗救助,还能通过战略性地建立创伤中心来显著改善创伤救治的效果。目前,中国各地区的创伤救治质量存在较大差异。在创伤救治的医疗过程中采用全面质量管理策略,对现场抢救、院前急救、院内治疗方案进行标准化管理,是提高创伤救治能力,进而提高创伤患者存活率的根本途径。作为全面医疗质量管理的基石,关键质量控制指标具有引导创伤中心发展方向的能力。为进一步加强创伤救治的医疗质量管理,规范临床诊疗方法,倡导医疗服务的标准化和同质化,国家创伤医学中心医疗质量控制专业委员会对创伤中心的16项关键质量控制指标进行了详细的完善和更新。这些指标最初是在2018年国家卫生健康委员会下发的《关于进一步提升创伤救治能力的通知》中提出的,经过这一努力,修订后的19项质控指标已经形成。这套包含指标名称、定义、计算方法、意义、质控对象等内容的综合指标体系,是为各级创伤中心质量管理与控制业务而设计的。这一举措旨在为创伤中心的质量控制工作提供一个具体可行的路线图。通过制定这些质量控制指标,医疗机构有能力对创伤救治的各个方面进行更严格的监控和评估。这不仅有利于及时发现和纠正现有的挑战,还大大提高了内部协作的效率。它加强了不同部门之间的协同作用,从而显著提高了创伤护理的效率和质量。
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[Expert consensus on key indicators for quality control in trauma medicine center].

Trauma is recognized globally as a great public health challenge. It stands as the predominant cause of mortality among those under the age of 45 and is also ranked among the top five causes of death for both urban and rural populations within China. This stark reality underscores the critical urgency in establishing an efficient system for trauma care, which is pivotal for substantially enhancing the survival rates of patients. An optimally developed system for trauma care not only guarantees that patients promptly receive professional medical assistance but also facilitates significant improvements in the outcomes of trauma care through the strategic establishment of trauma centers. At present, a considerable variation exists in the quality of trauma care provided across various regions within China. The adoption of comprehensive quality management strategies for the medical processes involved in trauma care, alongside the standardized management of on-site rescue operations, pre-hospital emergency care, and in-hospital treatment protocols, stands as a fundamental approach to boost the capabilities of trauma care and, consequently, the survival rates of trauma patients. Serving as the cornerstone of comprehensive medical quality management, key quality control indicators possess the capacity to steer the development direction of trauma centers. In a concerted effort to further augment the medical quality management of trauma care, standardize clinical diagnosis and treatment methodologies, and advocate for the standardization and ho-mogenization of medical services, the Medical Quality Control Professional Committee of the National Center for Trauma Medicine has undertaken a detailed refinement and update of the 16 key quality control indicators for trauma centers. These were initially put forward in the "Notice on Further Enhancing Trauma Care Capabilities" disseminated by the National Health Commission in 2018.Consequent to this endeavor, a revised set of 19 quality control indicators has been devised. This comprehensive set, inclusive of the indicators' names, definitions, calculation methodologies, significance, and the subjects for quality control, is designed for utilization within the quality management and control operations of trauma centers across various levels. This initiative aims to furnish a concrete and executable roadmap for the quality control endeavors of trauma centers. Through the enactment of these quality control indicators, medical institutions are empowered to conduct more stringent monitoring and evaluative measures across all facets of trauma care. This not only facilitates the prompt identification and rectification of existing challenges but also substantially boosts the efficiency of internal collaboration. It enhances the synergy between different departments, thereby markedly improving the efficiency and quality of trauma care.

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来源期刊
北京大学学报(医学版)
北京大学学报(医学版) Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
9815
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