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基于标准映射的同行评审:糖尿病标准。图表审核中决策的运用。

Peer review by criteria mapping: criteria for diabetes mellitus. The use of decision-making in chart audit.

作者信息

Greenfield S, Lewis C E, Kaplan S H, Davidson M B

出版信息

Ann Intern Med. 1975 Dec;83(6):761-70. doi: 10.7326/0003-4819-83-6-761.

DOI:10.7326/0003-4819-83-6-761
PMID:1200522
Abstract

The UCLA Experimental Medical Care Review Organization (EMCRO), in an attempt to minimize the problem of applying a general list of criteria to each patient with a specific condition, has developed a method called Criteria Mapping. This method uses sequential judgments based on the specific clinical data for the individual patient to assess the quality of care by medical record audit. The method does not penalize the physician for omitting unnecessary procedures by allowing alternate decisions when appropriate, and provides supporting reference materials to allow nonphysicians to make reliable medical interpretations of the data in medical records. It is expected that this method will more accurately reflect the physicians' intentions, and that process, when measured by this approach, may correlate better with the outcome of medical care.

摘要

加州大学洛杉矶分校实验性医疗护理评审组织(EMCRO)为尽量减少将通用标准清单应用于每个特定病情患者时出现的问题,开发了一种名为“标准映射”的方法。该方法基于个体患者的具体临床数据进行序贯判断,通过病历审核来评估医疗护理质量。该方法不会因医生遗漏不必要的程序而对其进行惩罚,在适当情况下允许做出替代决策,并提供辅助参考资料,使非医生能够对病历中的数据做出可靠的医学解读。预计这种方法将更准确地反映医生的意图,并且以这种方法衡量的医疗过程可能与医疗护理结果有更好的相关性。

相似文献

1
Peer review by criteria mapping: criteria for diabetes mellitus. The use of decision-making in chart audit.基于标准映射的同行评审:糖尿病标准。图表审核中决策的运用。
Ann Intern Med. 1975 Dec;83(6):761-70. doi: 10.7326/0003-4819-83-6-761.
2
Criteria mapping: a method of quality assurance.标准映射:一种质量保证方法。
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Management criteria, documentation, and peer review of initial urinary tract infection.初始尿路感染的管理标准、文件记录及同行评审。
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A multidisciplinary audit of diabetic care using criteria mapping.使用标准映射对糖尿病护理进行多学科审核。
J Can Diet Assoc. 1984 Jul;45(3):255-61.
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Comparison of computer-aided and human review of general practitioners' management of hypertension.
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A chart audit peer review system in an ambulatory service.门诊服务中的图表审核同行评议系统。
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Physician performance in a prepaid health plan: results of the peer review program of the Health Insurance Plan of Greater New York.预付费健康计划中的医生表现:大纽约健康保险计划同行评审项目的结果
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Peer review in diabetes and hypertension: the relationship between care process and patient outcome.糖尿病和高血压领域的同行评审:护理过程与患者预后之间的关系。
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Data for peer review: acquisition and use. Results in the experimental medical care review organization program.同行评审数据:获取与使用。实验性医疗护理评审组织项目的结果。
Ann Intern Med. 1975 Feb;82(2):262-7. doi: 10.7326/0003-4819-82-2-262.

引用本文的文献

1
Clinical algorithms.临床算法
West J Med. 1978 Sep;129(3):230-1.
2
Relation between indicators for quality of occupational rehabilitation of employees with low back pain.腰痛员工职业康复质量指标之间的关系。
Occup Environ Med. 1999 Jul;56(7):488-93. doi: 10.1136/oem.56.7.488.
3
Theory and practice for measuring health care quality.医疗保健质量测量的理论与实践。
Health Care Financ Rev. 1987 Dec;Spec No(Suppl):49-55.
4
Development and evaluation of a quality assessment instrument for occupational physicians.职业医师质量评估工具的开发与评估
Occup Environ Med. 1998 Jun;55(6):375-82. doi: 10.1136/oem.55.6.375.
5
Nurse practitioner and physician adherence to standing orders criteria for consultation or referral.执业护士和医生对会诊或转诊常备医嘱标准的遵守情况。
Am J Public Health. 1982 Jan;72(1):22-9. doi: 10.2105/ajph.72.1.22.
6
Phased trial of a proven algorithm at a new primary care clinic.在一家新的初级保健诊所对一种经过验证的算法进行分阶段试验。
Am J Public Health. 1982 Jan;72(1):16-21. doi: 10.2105/ajph.72.1.16.
7
Algorithms and the "art' of medicine.算法与医学“艺术”
Am J Public Health. 1982 Jan;72(1):10-2. doi: 10.2105/ajph.72.1.10.
8
How to read clinical journals: VI. To learn about the quality of clinical care.如何阅读临床期刊:六、了解临床护理质量。
Can Med Assoc J. 1984 Feb 15;130(4):377-81.
9
Medical audit, continuing medical education and quality assurance.医学审计、继续医学教育与质量保证。
West J Med. 1976 Sep;125(3):241-52.
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Criteria and flowsheet for utilization review by level of care.按护理级别进行利用情况审查的标准和流程表。
West J Med. 1977 Apr;126(4):318-23.