Meissner Winfried
Klinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Jena.
Z Evid Fortbild Qual Gesundhwes. 2011;105(5):350-3. doi: 10.1016/j.zefq.2011.05.017.
Despite the availability of high-quality guidelines and advanced pain management techniques acute postoperative pain management is still far from being satisfactory. The QUIPS (Quality Improvement in Postoperative Pain Management) project aims to improve treatment quality by means of standardised data acquisition, analysis of quality and process indicators, and feedback and benchmarking. During a pilot phase funded by the German Ministry of Health (BMG), a total of 12,389 data sets were collected from six participating hospitals. Outcome improved in four of the six hospitals. Process indicators, such as routine pain documentation, were only poorly correlated with outcomes. To date, more than 130 German hospitals use QUIPS as a routine quality management tool. An EC-funded parallel project disseminates the concept internationally. QUIPS demonstrates that patient-reported outcomes in postoperative pain management can be benchmarked in routine clinical practice. Quality improvement initiatives should use outcome instead of structural and process parameters. The concept is transferable to other fields of medicine.
尽管有高质量的指南和先进的疼痛管理技术，但急性术后疼痛管理仍远不能令人满意。QUIPS（术后疼痛管理质量改进）项目旨在通过标准化数据采集、质量和过程指标分析以及反馈和基准测试来提高治疗质量。在德国卫生部（BMG）资助的试点阶段，共从六家参与医院收集了12389个数据集。六家医院中有四家的结果有所改善。诸如常规疼痛记录等过程指标与结果的相关性很差。迄今为止，超过130家德国医院将QUIPS用作常规质量管理工具。一个由欧盟资助的平行项目在国际上传播这一概念。QUIPS表明，术后疼痛管理中患者报告的结果可以在常规临床实践中进行基准测试。质量改进举措应使用结果而非结构和过程参数。这一概念可应用于医学的其他领域。
