创伤护理中的“非工作时间”效应：一个具有吸引力特征的潜在质量指标。
The 'off-hour' effect in trauma care: a possible quality indicator with appealing characteristics.
出版信息
Scand J Trauma Resusc Emerg Med. 2011 Jun 9;19:33. doi: 10.1186/1757-7241-19-33.
Abstract
A recent paper has drawn attention to the paucity of widely accepted quality indicators for trauma care. At the same time, several studies have measured whether mortality of trauma patients changes between normal working time and other parts of the day/week, i.e. the so-called 'off-hour' or 'weekend' effect. This measure has the characteristics to become an accepted quality indicator because it combines the advantages of both outcome and process indicators. As an outcome indicator it would not need validation, a procedure particularly difficult in trauma care where gathering scientific evidence is more difficult than in other disciplines. As a process indicator it would provide indications about where to intervene to improve quality.
摘要
最近的一篇论文引起了人们对创伤护理缺乏广泛接受的质量指标的关注。与此同时，有几项研究已经测量了创伤患者的死亡率在正常工作时间和一天/一周的其他时间之间是否发生变化，即所谓的“非工作时间”或“周末”效应。这种衡量方法具有成为公认的质量指标的特点，因为它结合了结果和过程指标的优点。作为一个结果指标，它不需要验证，这在创伤护理中是一个特别困难的程序，因为在创伤护理中收集科学证据比其他学科更困难。作为一个过程指标，它将提供关于在何处进行干预以提高质量的指示。
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