Davies Mark G
Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, USA.
Methodist Debakey Cardiovasc J. 2012 Oct-Dec;8(4):15-9. doi: 10.14797/mdcj-8-4-15.
The impetus to pursue quality in limb salvage is high in the current economic environment. This has been spurred on by the diffusion of multiple technologies, the lack of well-defined cost-effectiveness benchmarks, and the paucity of process and structure benchmarks. Furthermore, no national database exists to capture current activity and trends, and lead structure and process changes that could analyze outcomes and improve standards in peripheral interventions for limb salvage. This manuscript examines the challenges in measuring outcomes and quality in limb salvage and explores the components necessary for ensuring quality in limb salvage interventions.
在当前经济环境下,在保肢治疗中追求质量的动力很高。多种技术的传播、缺乏明确的成本效益基准以及过程和结构基准的匮乏,促使了这种情况的发生。此外,不存在全国性数据库来记录当前的活动和趋势,也无法引领结构和过程变革以分析结果并提高肢体挽救外周干预的标准。本文探讨了在衡量肢体挽救的结果和质量方面所面临的挑战,并探索了确保肢体挽救干预质量所需的组成部分。