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本文引用的文献

1
The morality of using mortality as a financial incentive: unintended consequences and implications for acute hospital care.将死亡率用作经济激励措施的道德问题：意外后果及对急性医院护理的影响
JAMA. 2013 Jun 5;309(21):2213-4. doi: 10.1001/jama.2013.5009.
2
Impact of present-on-admission indicators on risk-adjusted hospital mortality measurement.入院时指标对风险调整后医院死亡率测量的影响。
Anesthesiology. 2013 Jun;118(6):1298-306. doi: 10.1097/ALN.0b013e31828e12b3.
3
A comparison of clinical registry versus administrative claims data for reporting of 30-day surgical complications.比较临床注册与行政索赔数据在报告 30 天手术并发症方面的差异。
Ann Surg. 2012 Dec;256(6):973-81. doi: 10.1097/SLA.0b013e31826b4c4f.
4
The use of patient-reported outcomes (PRO) within comparative effectiveness research: implications for clinical practice and health care policy.在比较疗效研究中使用患者报告的结局（PRO）：对临床实践和医疗保健政策的影响。
Med Care. 2012 Dec;50(12):1060-70. doi: 10.1097/MLR.0b013e318268aaff.
5
Thirty-day readmissions--truth and consequences.30天再入院——真相与后果。
N Engl J Med. 2012 Apr 12;366(15):1366-9. doi: 10.1056/NEJMp1201598. Epub 2012 Mar 28.
6
Severity scoring in the critically ill: part 1--interpretation and accuracy of outcome prediction scoring systems.危重病患者的严重程度评分：第 1 部分——预后评分系统的解读和准确性。
Chest. 2012 Jan;141(1):245-252. doi: 10.1378/chest.11-0330.
7
Constructing a composite quality score for the care of acute myocardial infarction patients at discharge: impact on hospital ranking.构建急性心肌梗死患者出院时护理的综合质量评分：对医院排名的影响。
Med Care. 2011 Jun;49(6):569-76. doi: 10.1097/MLR.0b013e31820fc386.
8
The effect of pay-for-performance in hospitals: lessons for quality improvement.医院绩效薪酬的效果：质量改进的经验教训。
Health Aff (Millwood). 2011 Apr;30(4):690-8. doi: 10.1377/hlthaff.2010.1277.
9
ACS-NSQIP criteria are associated with APACHE severity and outcomes in critically ill surgical patients.ACS-NSQIP 标准与危重症手术患者的 APACHE 严重程度和结局相关。
J Am Coll Surg. 2011 Mar;212(3):287-94. doi: 10.1016/j.jamcollsurg.2010.12.011.
10
Quality improvement in surgery: the American College of Surgeons National Surgical Quality Improvement Program approach.外科手术质量改进：美国外科医师学会国家外科质量改进计划方法
Adv Surg. 2010;44:251-67. doi: 10.1016/j.yasu.2010.05.003.

结果指标与风险调整

Outcomes measures and risk adjustment.

作者信息

Lane-Fall Meghan B, Neuman Mark D

机构信息

Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

出版信息

Int Anesthesiol Clin. 2013 Fall;51(4):10-21. doi: 10.1097/AIA.0b013e3182a70a52.

DOI:10.1097/AIA.0b013e3182a70a52
PMID:24088885
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3816010/
Abstract

This paper reviews the field of outcomes measurement in anesthesia and surgery, emphasizing those outcomes that may be influenced by perioperative care. Data sources for outcomes measurement are described, and the concept of risk adjustment is introduced. The basic mechanics of outcomes measurement and its pitfalls are explained. Finally, specific perioperative outcomes - mortality, readmission and composite outcomes - are described and their limitations are considered.

摘要

本文综述了麻醉和手术领域的结局测量，重点关注那些可能受围手术期护理影响的结局。描述了结局测量的数据来源，并介绍了风险调整的概念。解释了结局测量的基本机制及其陷阱。最后，描述了特定的围手术期结局——死亡率、再入院率和综合结局，并考虑了它们的局限性。