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利用轴突注册库进行质量改进。

Utilizing the Axon Registry® for quality improvement.

作者信息

Patel Anup D, Fritz Joseph V, Evans David A, Lundgren Karen B, Hentges Katie, Jones Lyell K

机构信息

Nationwide Children's Hospital (ADP), Columbus, OH; the Ohio State University College of Medicine (ADP), Columbus, OH; Dent Neurologic Institute (JVF), Amherst, NY; Texas Neurology (DAE), Dallas, TX; American Academy of Neurology (KBL, KH), Minneapolis, MN; and Mayo Clinic (LKJ), Rochester, MN.

出版信息

Neurol Clin Pract. 2018 Oct;8(5):456-461. doi: 10.1212/CPJ.0000000000000516.

Abstract

In 2015, the American Academy of Neurology began development of a clinical quality data registry now known as the Axon Registry®. The data collected by the Axon Registry and reported back to participants include performance on a number of quality measures relevant to neurology practice. While the Axon Registry may serve any number of needs for neurology practices, the essential function of the registry is to inform neurologists regarding the quality of their care and provide them with a tool to establish not only performance baselines but progress toward improved quality of care. This article includes 2 case studies of how the Axon Registry has been implemented in neurology practices to date. In the future, implementation of patient-reported outcome data and additional outcome measures will be necessary to expand the reach and effectiveness of the Axon Registry as a quality improvement tool.

摘要

2015年,美国神经病学学会开始开发一个临床质量数据登记系统,即现在的轴突登记系统(Axon Registry®)。轴突登记系统收集的数据并反馈给参与者,包括一些与神经病学实践相关的质量指标表现。虽然轴突登记系统可以满足神经病学实践的多种需求,但该登记系统的基本功能是告知神经科医生其医疗质量,并为他们提供一个工具,不仅可以建立绩效基线,还能显示在提高医疗质量方面的进展。本文包含两个案例研究,介绍了迄今为止轴突登记系统在神经病学实践中的实施情况。未来,实施患者报告的结果数据和其他结果指标对于扩大轴突登记系统作为质量改进工具的覆盖范围和有效性将是必要的。

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本文引用的文献

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The breadth and burden of data collection in clinical practice.临床实践中数据收集的广度和负担。
Neurol Clin Pract. 2016 Feb;6(1):81-86. doi: 10.1212/CPJ.0000000000000209.
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The AAN's Axon Registry: Mastering how we are measured.美国神经病学学会的轴突注册库:掌握衡量我们的方式。
Neurology. 2016 Nov 22;87(21):2180-2181. doi: 10.1212/WNL.0000000000003273. Epub 2016 Sep 30.
6
Practice improvement requires more than guidelines and quality measures.实践改进需要的不仅仅是指南和质量措施。
Neurology. 2016 Jan 12;86(2):188-93. doi: 10.1212/WNL.0000000000002116. Epub 2015 Oct 30.

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