Zhan C, Miller M R
Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality, Department of Health and Human Services, Rockville, MD 20852, USA.
Qual Saf Health Care. 2003 Dec;12 Suppl 2(Suppl 2):ii58-63. doi: 10.1136/qhc.12.suppl_2.ii58.
Administrative data are readily available, inexpensive, computer readable, and cover large populations. Despite coding irregularities and limited clinical details, administrative data supplemented by tools such as the Agency for Healthcare Research and Quality (AHRQ) patient safety indicators (PSIs) could serve as a screen for potential patient safety problems that merit further investigation, offer valuable insights into adverse impacts and risks of medical errors and, to some extent, provide benchmarks for tracking progress in patient safety efforts at local, state, or national levels.
行政数据易于获取、成本低廉、可计算机读取且涵盖大量人群。尽管存在编码不规范和临床细节有限的问题,但由医疗保健研究与质量局(AHRQ)患者安全指标(PSI)等工具补充的行政数据可作为潜在患者安全问题的筛查手段,这些问题值得进一步调查,能为医疗差错的不良影响和风险提供有价值的见解,并在一定程度上为跟踪地方、州或国家层面患者安全工作的进展提供基准。