Rubin H R, Pronovost P, Diette G B
Department of Medicine, Health Policy & Management, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Int J Qual Health Care. 2001 Dec;13(6):489-96. doi: 10.1093/intqhc/13.6.489.
This paper outlines the steps in developing and implementing process measures of quality. Developing a process measure includes defining the purpose of and audiences for the measures, choosing the clinical area to evaluate, organizing the assessment team, choosing the component of the process to measure, writing the indicator specifications, performing preliminary tests of feasibility, reliability and validity, and determining scoring and analytical specifications. Given the growing evidence in the literature regarding the impact of care, and an evolving understanding of how to develop and implement process of care measures as outlined here, the future should bring the development and implementation of quality indicators that are rigorously developed and that will provide insights into opportunities to improve the quality of care.
本文概述了制定和实施质量过程指标的步骤。制定一个过程指标包括明确指标的目的和受众、选择要评估的临床领域、组建评估团队、选择要衡量的过程组成部分、撰写指标规范、进行可行性、可靠性和有效性的初步测试，以及确定评分和分析规范。鉴于文献中关于护理影响的证据越来越多，以及对如何按照此处概述的方式制定和实施护理过程指标的理解不断演变，未来应该会出现严格制定的质量指标的开发和实施，这些指标将为改善护理质量的机会提供见解。
