Braun Jan-Peter, Mende Hendrik, Bause Hanswerner, Bloos Frank, Geldner Götz, Kastrup Marc, Kuhlen Ralf, Markewitz Andreas, Martin Jörg, Quintel Michael, Steinmeier-Bauer Klaus, Waydhas Christian, Spies Claudia
Dept. of Anaesthesiology and Surgical Intensive Care Medicine, Charité - University Medicine Berlin, Germany.
Ger Med Sci. 2010 Sep 28;8:Doc22. doi: 10.3205/000111.
In order to improve quality (of therapy), one has to know, evaluate and make transparent, one's own daily processes. This process of reflection can be supported by the presentation of key data or indicators, in which the real as-is state can be represented. Quality indicators are required in order to depict the as-is state.Quality indicators reflect adherence to specific quality measures. Continuing registration of an indicator is useless once it becomes irrelevant or adherence is 100%. In the field of intensive care medicine, studies of quality indicators have been performed in some countries. Quality indicators relevant for medical quality and outcome in critically ill patients have been identified by following standardized approaches.Different German societies of intensive care medicine have finally agreed on 10 core quality indicators that will be valid for two years and are currently recommended in German intensive care units (ICUs).
为了提高（治疗）质量，人们必须了解、评估并使自己的日常流程透明化。这一反思过程可以通过关键数据或指标的呈现来支持，其中可以展现实际的现状。为了描绘现状，需要质量指标。质量指标反映对特定质量措施的遵守情况。一旦指标变得无关紧要或遵守率达到100%，持续记录该指标就毫无用处。在重症医学领域，一些国家已经开展了质量指标研究。通过遵循标准化方法，已经确定了与危重症患者医疗质量和结局相关的质量指标。德国不同的重症医学学会最终就10项核心质量指标达成一致，这些指标将在两年内有效，目前在德国重症监护病房（ICU）中被推荐使用。
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