Schulman Joseph, Wirtschafter David D, Kurtin Paul
Division of Newborn Medicine, Department of Pediatrics, Weill Cornell Medical College of Cornell University, The New York Presbyterian Hospital, 525 East 68th Street, Box 106, NY 10065, USA.
Pediatr Clin North Am. 2009 Aug;56(4):865-92. doi: 10.1016/j.pcl.2009.06.001.
This two-part article provides a general guide to thinking about data-driven clinical performance evaluation and describes two statewide improvement networks anchored in such comparisons. Part 1 examines key ideas for making fair comparisons among providers. Part 2 describes the development of a data-driven collaborative that aims to reduce central line associated bloodstream infections in neonatal ICUs across New York State, and a more mature collaborative in California that has already succeeded in reducing these infections; it provides sufficient detail and tools to be of practical help to others seeking to create such networks. The content illustrates concepts with broad applicability for pediatric quality improvement.
这篇分两部分的文章提供了关于思考数据驱动的临床绩效评估的一般指南，并描述了基于此类比较的两个全州范围的改进网络。第一部分探讨了在提供者之间进行公平比较的关键理念。第二部分描述了一个旨在减少纽约州新生儿重症监护病房中心静脉导管相关血流感染的数据驱动型合作组织的发展情况，以及加利福尼亚州一个已经成功减少此类感染的更成熟的合作组织；它提供了足够的细节和工具，对其他寻求创建此类网络的人有实际帮助。内容阐述了对儿科质量改进具有广泛适用性的概念。
