California Pacific Medical Center, San Francisco and California Maternal Quality Care Collaborative, Palo Alto, California 94118, USA.
Curr Opin Obstet Gynecol. 2009 Dec;21(6):532-40. doi: 10.1097/GCO.0b013e328332d1b0.
Hospital quality measures have matured in many specialties but have lagged behind in maternity care. Recently, the National Quality Forum (NQF) has endorsed a series of 17 quality measures for perinatal care. It is important for all obstetric practitioners and leaders to understand these measures, as they form the basis of judging the quality of our hospital services for the next decade.
Measure characteristics are examined including how they are developed and judged, and then the nine obstetric care measures are discussed in detail, including their literature support and specifications. The challenges of designing and testing new measures are explored. The importance of this measure set is stressed, as both the Joint Commission and the Leapfrog Group have chosen their next set of perinatal measures from this group as will state and regional public reporting organizations. Hospital quality improvement activities will be increasingly focused on improving performance on these measures.
The current NQF measure set is not perfect but represents a reasonable start, covering a range of obstetric practice. Many of the measures could use further refinement and we need research and testing of additional measures going forward.
医院质量指标在许多专业领域已经成熟，但在产科护理方面却落后了。最近，国家质量论坛（NQF）认可了一系列 17 项围产期护理质量指标。所有产科医生和领导者都应该了解这些指标，因为它们是未来十年评判我们医院服务质量的基础。
本文首先检查了指标特征，包括其制定和判断方式，然后详细讨论了 9 项产科护理措施，包括其文献支持和规范。还探讨了设计和测试新措施的挑战。强调了这组措施的重要性，因为联合委员会和 Leapfrog 集团都选择了从这个组中选择下一组围产期措施，州和地区公共报告组织也将选择这些措施。未来，医院质量改进活动将越来越侧重于提高这些措施的绩效。
目前的 NQF 指标集并不完美，但代表了一个合理的起点，涵盖了一系列产科实践。许多措施还需要进一步细化，我们需要研究和测试更多的措施。
