Jones Cheryl, Gannon Brenda, Wakai Abel, O'Sullivan Ronan
Centre for Health Economics, The University of Manchester, Oxford Rd, Manchester, M13 9PL, UK.
Department of Emergency Medicine, Beaumont Hospital, Beaumont Rd, Dublin, Ireland.
Syst Rev. 2015 Apr 1;4:38. doi: 10.1186/s13643-015-0013-7.
Key performance indicators (KPIs) are used to identify where organisational performance is meeting desired standards and where performance requires improvement. Valid and reliable KPIs depend on the availability of high-quality data, specifically the relevant minimum data set ((MDS) the core data identified as the minimum required to measure performance for a KPI) elements. However, the feasibility of collecting the relevant MDS elements is always a limitation of performance monitoring using KPIs. Preferably, data should be integrated into service delivery, and, where additional data are required that are not currently collected as part of routine service delivery, there should be an economic evaluation to determine the cost of data collection. The aim of this systematic review was to synthesise the evidence base concerning the costs of data collection in hospitals for performance monitoring using KPI, and to identify hospital data collection systems that have proven to be cost minimising.
We searched MEDLINE (1946 to May week 4 2014), Embase (1974 to May week 2 2014), and CINAHL (1937 to date). The database searches were supplemented by searching for grey literature through the OpenGrey database. Data was extracted, tabulated, and summarised as part of a narrative synthesis.
The searches yielded a total of 1,135 publications. After assessing each identified study against specific inclusion exclusion criteria only eight studies were deemed as relevant for this review. The studies attempt to evaluate different types of data collection interventions including the installation of information communication technology (ICT), improvements to current ICT systems, and how different analysis techniques may be used to monitor performance. The evaluation methods used to measure the costs and benefits of data collection interventions are inconsistent across the identified literature. Overall, the results weakly indicate that collection of hospital data and improvements in data recording can be cost-saving.
Given the limitations of this systematic review, it is difficult to conclude whether improvements in data collection systems can save money, increase quality of care, and assist performance monitoring of hospitals. With that said, the results are positive and suggest that data collection improvements may lead to cost savings and aid quality of care.
PROSPERO CRD42014007450 .
关键绩效指标（KPI）用于确定组织绩效在哪些方面达到了期望标准，哪些方面需要改进。有效且可靠的KPI取决于高质量数据的可用性，特别是相关的最小数据集（（MDS）被确定为衡量KPI绩效所需的最低核心数据）元素。然而，收集相关MDS元素的可行性始终是使用KPI进行绩效监测的一个限制因素。理想情况下，数据应整合到服务提供中，并且在需要作为常规服务提供的一部分而目前未收集的额外数据时，应进行经济评估以确定数据收集的成本。本系统评价的目的是综合有关医院使用KPI进行绩效监测的数据收集成本的证据基础，并确定已被证明能使成本最小化的医院数据收集系统。
我们检索了MEDLINE（1946年至2014年第4周）、Embase（1974年至2014年第2周）和CINAHL（1937年至今）。通过OpenGrey数据库搜索灰色文献对数据库检索进行补充。作为叙述性综合的一部分，对数据进行提取、制表和总结。
检索共产生1135篇出版物。根据特定的纳入排除标准对每项已识别的研究进行评估后，只有8项研究被认为与本评价相关。这些研究试图评估不同类型的数据收集干预措施，包括信息通信技术（ICT）的安装、对当前ICT系统的改进，以及如何使用不同的分析技术来监测绩效。在所识别的文献中，用于衡量数据收集干预措施成本和效益的评估方法不一致。总体而言，结果微弱地表明医院数据的收集和数据记录的改进可以节省成本。
鉴于本系统评价的局限性，很难得出数据收集系统的改进是否能省钱、提高护理质量以及协助医院绩效监测的结论。话虽如此，结果是积极的，表明数据收集的改进可能会带来成本节约并有助于护理质量。
PROSPERO CRD42014007450 。
