O'Brien Brendan S, McNally Michael P, Duncan James E
Department of Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland.
Clin Colon Rectal Surg. 2014 Mar;27(1):26-31. doi: 10.1055/s-0034-1366916.
Quality improvement in health care has become a major topic of discussion among health care providers, patients, insurance companies, and the government. National Surgical Quality Improvement Project (NSQIP), along with a multitude of other programs, exists in an attempt to create objective data that can be used to compare hospitals and providers against a national average. Studies have shown that despite good patient care and proper surgical technique, patients who undergo procedures such as colectomy have a higher incidence of surgical site infection (SSI) and other morbidities. Therefore, hospitals with a large volume of colon and rectal surgery cases are routinely identified as "high outliers" in these quality improvement programs. Programs, such as NSQIP, may not be the best way to measure quality in specific subspecialties such as colon and rectal surgery.
医疗保健质量改进已成为医疗保健提供者、患者、保险公司和政府之间讨论的一个主要话题。国家外科质量改进项目（NSQIP）以及众多其他项目的存在，旨在创建客观数据，可用于将医院和医疗服务提供者与全国平均水平进行比较。研究表明，尽管有良好的患者护理和适当的手术技术，但接受结肠切除术等手术的患者发生手术部位感染（SSI）和其他并发症的发生率较高。因此，在这些质量改进项目中，进行大量结肠和直肠手术病例的医院通常被认定为“高异常值”。像NSQIP这样的项目可能不是衡量结肠和直肠手术等特定亚专业质量的最佳方式。
