Vanderbilt University, 461 21st Avenue South, Godchaux Hall #306, Nashville, TN 37240, USA.
Nurs Clin North Am. 2014 Mar;49(1):15-27. doi: 10.1016/j.cnur.2013.11.007. Epub 2013 Dec 22.
A gastroenterology practice lacked quality measures to evaluate the practice's colorectal cancer prevention efforts. Colonoscopy performance data were gathered from a retrospective review of 90 charts using a modified Colorectal Cancer Prevention Data Collection Form. Practice stakeholders and project leader reviewed the data, identified practice deficiencies, conducted root cause analysis, and developed practice changes. Implementing the prioritized recommendations and routinely benchmarking care were warranted to ensure effective practice to improve outcomes for colorectal cancer prevention. Achieving higher-value care has led to increased efforts to improve systems for measuring care, using these measures for quality improvement and directly linking quality outcomes to reimbursement.
一家胃肠病学诊所缺乏评估其结直肠癌预防工作质量的措施。使用改良版的结直肠癌预防数据收集表，通过回顾性分析 90 份病历收集结肠镜检查的表现数据。临床医生、项目负责人审查数据，识别实践中的不足，进行根本原因分析，并制定改进措施。优先推荐的建议的实施和常规护理的基准测试是必要的，以确保有效的实践，改善结直肠癌预防的结果。实现更高价值的医疗服务，促使人们加大力度改进医疗服务的衡量系统，利用这些措施进行质量改进，并将质量结果与报销直接挂钩。
