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麻醉学中的改进科学

Improvement Science in Anaesthesia.

作者信息

Wagstaff Duncan T, Bedford James, Moonesinghe S Ramani

机构信息

UCL/UCLH Surgical Outcome Research Centre (SOuRCe), 3rd Floor, Maple Link Corridor, University College Hospital, 235 Euston Road, London, NW1 2BU UK.

National Institute of Academic Anaesthesia Health Services Research Centre (NIAA HSRC), Royal College of Anaesthetists, Churchill House, 35 Red Lion Square, London, WC1R 4SG UK.

出版信息

Curr Anesthesiol Rep. 2017;7(4):432-439. doi: 10.1007/s40140-017-0234-5. Epub 2017 Sep 23.

Abstract

PURPOSE OF REVIEW

This article offers an overview of the history and features of Improvement Science in general and some of its applications to Anaesthesia in particular.

RECENT FINDINGS

Improvement Science is an evolving discipline aiming to generate learning from quality improvement interventions. An increasingly common approach to improving Anaesthesia services is to employ large-scale perioperative data measurement and feedback programmes. Improvement Science offers important insights on questions such as which indicators to collect data for; how to capture that data; how it can be presented in engaging visual formats; how it could/should be fed back to frontline staff and how they can be supported in their use of data to generate improvement.

SUMMARY

Data measurement and feedback systems represent opportunities for anaesthetists to work with multidisciplinary colleagues to help improve services and outcomes for surgical patients. Improvement Science can help evaluate which approaches work, and in which contexts, and is therefore of value to healthcare commissioners, providers and patients.

摘要

综述目的

本文概述了改进科学的历史和特点,特别是其在麻醉领域的一些应用。

最新发现

改进科学是一门不断发展的学科,旨在从质量改进干预措施中获取经验教训。改善麻醉服务的一种越来越常见的方法是采用大规模围手术期数据测量和反馈计划。改进科学为以下问题提供了重要见解:收集哪些指标的数据;如何获取这些数据;如何以引人入胜的视觉形式呈现数据;如何将数据反馈给一线工作人员,以及如何支持他们利用数据实现改进。

总结

数据测量和反馈系统为麻醉医生提供了与多学科同事合作的机会,以帮助改善外科患者的服务和治疗效果。改进科学可以帮助评估哪些方法有效,以及在哪些情况下有效,因此对医疗保健专员、提供者和患者都有价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3098/5696442/09067a3378d4/40140_2017_234_Fig1_HTML.jpg

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