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临床审核以改善危重病治疗:第 2 部分:分析、基准测试和反馈。

Clinical audits to improve critical care: Part 2: Analyse, benchmark and feedback.

机构信息

National Centre of Research Excellence in Nursing, Alliance for Vascular Access Teaching and Research (AVATAR) Group, Menzies Health Institute Queensland, Griffith University, Nathan, QLD, Australia; Centre for Clinical Nursing, Royal Brisbane and Women's Hospital, Australia; Nursing Practice Development Unit, Princess Alexandra Hospital, Australia.

National Centre of Research Excellence in Nursing, Alliance for Vascular Access Teaching and Research (AVATAR) Group, Menzies Health Institute Queensland, Griffith University, Nathan, QLD, Australia; Centre for Clinical Nursing, Royal Brisbane and Women's Hospital, Australia; School of Nursing and Midwifery, Alliance for Vascular Access Teaching and Research (AVATAR) Group, Menzies Health Institute Queensland, Griffith University, Australia; Paediatric Critical Care Research Group, Lady Cilento Children's Hospital, Brisbane, Australia.

出版信息

Aust Crit Care. 2018 Mar;31(2):106-109. doi: 10.1016/j.aucc.2017.04.002. Epub 2017 Jun 3.

Abstract

Clinical audits are an essential part of the cycle designed to ensure that patients receive the best quality of care. By measuring the care delivered against established best practice standards, it becomes possible to identify shortcomings and to plan targeted strategies and processes for continuous improvement. The success of a clinical audit depends upon defined goals, motivation of stakeholders, appropriate tools and resources, and clear communication. In part 1 of this series, an overview of the structures and processes needed to prepare and collect data for clinical audits in the critical care setting was provided [A.J. Ullman, G. Ray-Barruel, C.M. Rickard, M. Cooke, Clinical audits to improve critical care: Part 1 Prepare and collect data, Aust Crit Care, 2017, in press]. In part 2, we discuss how to analyse the collected audit data, benchmark findings with internal and external data sets, and feedback audit results to critical care clinicians to promote evidence-based practice and improve patient outcomes.

摘要

临床审核是确保患者获得最佳护理质量的循环设计的重要组成部分。通过将提供的护理与既定的最佳实践标准进行衡量,可以发现不足之处,并为持续改进制定有针对性的策略和流程。临床审核的成功取决于明确的目标、利益相关者的积极性、适当的工具和资源以及清晰的沟通。在本系列的第 1 部分中,提供了在重症监护环境中准备和收集临床审核数据所需的结构和流程的概述 [A.J. Ullman、G. Ray-Barruel、C.M. Rickard、M. Cooke,《改善重症监护的临床审核:第 1 部分准备和收集数据》,Aust Crit Care,2017 年,即将出版]。在第 2 部分中,我们将讨论如何分析收集到的审核数据,将发现结果与内部和外部数据集进行基准比较,并将审核结果反馈给重症监护临床医生,以促进循证实践并改善患者结局。

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