Sivak E D, Perez-Trepichio A
Cleveland Clinic Foundation, OH.
Qual Assur Util Rev. 1992 Summer;7(2):42-9. doi: 10.1177/0885713x9200700202.
Quality assessment and assurance activities in the intensive care unit are complex processes that begin with the definition of the scope of services delivered in the unit with further identification of the important aspects of care. There is also a need to establish indicators of quality, gather data, and finally to organize the data into useful information. There are many approaches to these efforts ranging from establishment of indicators to data collection and analysis of patterns that lead to clarification of the indicators. We chose the latter pathway, specifically utilizing a previously described data model in which information was grouped according to structure, process, and outcome of patient care. In this paper, we focus on the application of the concept of patient days of service for quantification of the utilization of resources as an element of quality. Efficient utilization of resources cannot be effected until data on actual utilization are collected and analyzed.
重症监护病房的质量评估和保证活动是复杂的过程，始于对该病房所提供服务范围的界定，并进一步确定护理的重要方面。还需要建立质量指标、收集数据，最后将数据整理成有用的信息。这些工作有许多方法，从指标的建立到数据收集以及对导致指标明确的模式进行分析。我们选择了后一种途径，具体采用了一种先前描述的数据模型，其中信息根据患者护理的结构、过程和结果进行分组。在本文中，我们重点关注将服务患者天数的概念应用于资源利用量化，作为质量的一个要素。在收集和分析实际利用数据之前，无法实现资源的有效利用。
