Moraes Danielle Pedroni, Andrade Claudia Regina Furquim de
Instituto Central do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo - USP - São Paulo - SP, Brazil.
J Soc Bras Fonoaudiol. 2011 Mar;23(1):89-94. doi: 10.1590/s2179-64912011000100018.
This article proposes a panel of quality indicators for the management of swallowing rehabilitation (SR) therapy in a hospital setting. There were four stages in developing these indicators: identifying procedures to be managed; generating indicators and standardizing data collection; identifying the correlation among indicators; and formulating the panel of indicators. The following 12 quality indicators were developed: swallowing evaluation index; individual care index; speech-language pathologist (SLP) care index; number of assisted patients index; severity rate; swallowing diagnosis rate per hospital unit; swallowing rehabilitation demand index; time until first swallowing evaluation; SLP index per hospital bed; time until removal of feeding tube; time until reintroduction of oral feeding; and time until decannulation. The proposed indicators were designed to improve the management of dysphagia in a hospital setting. Measuring these indicators is essential to understanding the patient's needs and providing quality care. Managing care using these indicators will make it easier to track the patient's rehabilitation process, measure the effectiveness of new therapeutic processes and technologies, and evaluate the performance of hospital units relative to other providers in the area. The management of SR using quality indicators allows the effectiveness and efficiency of rehabilitation programs to be clearly evaluated.
本文提出了一套用于医院环境中吞咽康复（SR）治疗管理的质量指标。制定这些指标有四个阶段：确定要管理的程序；生成指标并规范数据收集；确定指标之间的相关性；以及制定指标组。制定了以下12个质量指标：吞咽评估指数；个体护理指数；言语治疗师（SLP）护理指数；辅助患者数量指数；严重程度率；每个医院科室的吞咽诊断率；吞咽康复需求指数；首次吞咽评估前的时间；每张医院病床的SLP指数；拔除饲管前的时间；重新引入经口喂养前的时间；以及拔管前的时间。所提出的指标旨在改善医院环境中吞咽困难的管理。测量这些指标对于了解患者需求和提供优质护理至关重要。使用这些指标管理护理将更容易跟踪患者的康复过程，衡量新治疗方法和技术的有效性，并评估医院科室相对于该地区其他医疗机构的表现。使用质量指标管理SR可以清楚地评估康复计划的有效性和效率。
