Moreland Michael E, Kilbourne Amy M, Engelhardt Joseph B, Jain Rajiv, Gao Jian, Macpherson David S, Sonel Ali F, Xing Guibo
VA Pittsburgh Healthcare System, PA, USA.
J Healthc Qual. 2004 Sep-Oct;26(5):12-7. doi: 10.1111/j.1945-1474.2004.tb00515.x.
Clinical performance monitoring data on processes of care from a 3-year period were used to assess whether preventive foot care was associated with improved health outcomes in diabetes mellitus patients. Preventive foot care as well as sensory and pedal-pulse examinations were associated with reduced rates of Lower extremity amputation. It is believed that an administrative focus, resource direction, and improvement in process monitoring will lead to better patient outcomes. External review measures can be used by administrators and cLinicians to determine trends in quality of care and patient outcomes andto provide feedback on prevention efforts.
利用三年期间护理过程的临床绩效监测数据，评估预防性足部护理是否与糖尿病患者更好的健康结果相关。预防性足部护理以及感觉和足部脉搏检查与下肢截肢率降低相关。人们认为，行政重点、资源导向和过程监测的改善将带来更好的患者结果。管理人员和临床医生可以使用外部审查措施来确定护理质量和患者结果的趋势，并就预防工作提供反馈。
