Weber Kristy
Department of Orthopaedic Surgery, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA.
J Pediatr Orthop. 2012 Sep;32 Suppl 2:S78-82. doi: 10.1097/BPO.0b013e318255b1c8.
With a renewed focus on quality in US health care, the field of orthopaedic surgery faces both challenges and opportunities to lead the way in providing high-quality musculoskeletal care for patients. Orthopaedics has historically been an eminence-based and tradition-based specialty, and the future will require more evidence in the form of higher-level clinical studies. The orthopaedic oncology literature in 1 leading journal is analyzed between 2005 and 2011 to highlight the published levels of evidence. Models of quality initiatives from leading medical specialty organizations such as the American College of Cardiology are provided. A brief history of past quality efforts from the American Academy of Orthopaedic Surgeons as well as a more detailed review of the current initiatives including clinical practice guidelines, technology overviews, and appropriate use criteria are listed.
随着美国医疗保健领域对质量的重新关注，骨外科领域在为患者提供高质量肌肉骨骼护理方面面临着挑战和引领潮流的机遇。从历史上看，骨科一直是一个基于卓越和传统的专业领域，而未来将需要更多以高级别临床研究形式存在的证据。对2005年至2011年期间1份领先期刊上的骨科肿瘤学文献进行分析，以突出已发表的证据水平。提供了来自美国心脏病学会等领先医学专业组织的质量改进模式。列出了美国骨科医师学会过去质量努力的简要历史，以及对当前举措的更详细回顾，包括临床实践指南、技术概述和合理使用标准。
