Stausberg Jürgen, Bartels Claus, Bobrowski Christoph
Institut für Medizinische Informatik, Biometrie und Epidemiologie, Universitätsklinikum Essen, Essen.
Med Klin (Munich). 2007 Jul 15;102(7):507-14. doi: 10.1007/s00063-007-1063-y.
Starting with clinically motivated projects, the national quality assurance program has established a legislative obligatory framework. Annual feedback of results is an important means of quality control.
The annual reports cover quality-related information with high granularity. A synopsis for corporate management is missing, however. Therefore, the results of the University Clinics in Greifswald, Germany, have been analyzed and aggregated to support hospital management.
Strengths were identified by the ranking of results within the state for each quality indicator, weaknesses by the comparison with national reference values. The assessment was aggregated per clinical discipline and per category (indication, process, and outcome).
A composition of quality indicators was claimed multiple times. A coherent concept is still missing. The method presented establishes a plausible summary of strengths and weaknesses of a hospital from the point of view of the national quality assurance program. Nevertheless, further adaptation of the program is needed to better assist corporate management.
国家质量保证计划从临床驱动的项目入手，建立了一个具有法律强制性的框架。结果的年度反馈是质量控制的重要手段。
年度报告涵盖了高粒度的质量相关信息。然而，缺少一份给企业管理层的概要。因此，对德国格赖夫斯瓦尔德大学诊所的结果进行了分析和汇总，以支持医院管理。
通过对每个质量指标在该州内的结果排名来确定优势，通过与国家参考值进行比较来确定劣势。评估按临床学科和类别（适应症、过程和结果）进行汇总。
质量指标的构成被多次提及。一个连贯的概念仍然缺失。从国家质量保证计划的角度来看，所提出的方法建立了一个关于医院优势和劣势的合理总结。然而，该计划仍需进一步调整，以更好地协助企业管理。
