Dimick Justin B
VA Outcomes Group, VA Medical Center, White River Junction, VT 05009, USA.
Curr Opin Crit Care. 2005 Aug;11(4):345-8. doi: 10.1097/01.ccx.0000170504.53657.01.
Public recognition of wide variations in surgical outcomes has prompted numerous efforts aimed at measuring and improving quality. Given that many of the most prominent efforts focus on organizational factors, this paper reviews the growing body of evidence underlying these initiatives.
Physician, nurse, and pharmacist staffing are strongly related to outcomes for critically ill surgical patients. New technologic innovation, particularly computerized physician order entry, has the potential to markedly reduce medical errors in this population. Creating an infrastructure for the measurement and improvement of surgical quality also shows significant promise for improving outcomes.
Several organizational characteristics are strongly related outcomes for critically ill surgical patients. Increasing the number of surgical patients receiving care in hospitals adhering to these organizational practices would save many lives each year.
公众对手术结果存在巨大差异的认识促使人们做出诸多努力，旨在衡量和提高医疗质量。鉴于许多最突出的努力都集中在组织因素上，本文回顾了这些举措背后不断增加的证据。
医生、护士和药剂师的人员配备与重症外科患者的治疗结果密切相关。新的技术创新，尤其是计算机化医嘱录入，有可能显著减少这类患者的医疗差错。建立手术质量衡量与改进的基础设施也显示出改善治疗结果的巨大前景。
若干组织特征与重症外科患者的治疗结果密切相关。每年让更多在遵循这些组织做法的医院接受治疗的外科患者受益，将挽救许多生命。
