[特定病症新生儿的优质护理指标：试点研究。]
[Quality care indicators for neonates with selected pathologies: pilot study.].
作者信息
Saturno-Hernández Pedro Jesús, Poblano-Verástegui Ofelia, Flores-Hernández Sergio, Ángel-García Daniel, O Shea-Cuevas Gabriel Jaime, Villagrán-Muñoz Víctor Manuel, Halley-Castillo María Elizabeth, Delgado-Sánchez Verónica
机构信息
Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.
Universidad Católica San Antonio de Murcia, Departamento de Ciencias de la Salud. Murcia, España.
出版信息
Salud Publica Mex. 2019 Ene-Feb;61(1):35-45. doi: 10.21149/9271.
OBJECTIVE
Develop and pilot indicators of quality of care to neonates with relevant conditions in Mexico (prematurity, neonatal sepsis, perinatal asphyxia, and intrauterine hypoxia).
MATERIALS AND METHODS
Own indicators were built based on key recommendations of national clinical practice guidelines and indicators found in international repositories. With previous search, selection and prioritization, the indicators were piloted within two hospitals. The feasibility of measuring, (kappa index) reliability and usefulness was analyzed to detect quality problems.
RESULTS
23 indicators were selected and piloted, 12 are compounds, of the total, nine were feasible and reliable. The quality of the hospital's information was diverse and often poor, limiting both the feasibility and the reliability of the indicators. Improvement opportunities were identified thorough the compliance levels.
CONCLUSIONS
A set of nine indicators valid, reliable, feasible and useful indicators is proposed in order to monitor the quality of care of pathological neonates.
目的
制定并试行针对墨西哥患有相关病症（早产、新生儿败血症、围产期窒息和宫内缺氧）新生儿的护理质量指标。
材料与方法
根据国家临床实践指南的关键建议以及国际数据库中的指标构建自有指标。经过先前的搜索、筛选和排序后，在两家医院对这些指标进行了试行。分析了测量的可行性（kappa指数）、可靠性和实用性，以发现质量问题。
结果
选取并试行23项指标，其中12项为复合指标，总共9项可行且可靠。医院信息质量参差不齐且往往较差，限制了指标的可行性和可靠性。通过合规水平确定了改进机会。
结论
提出一套9项有效、可靠、可行且实用的指标，以监测患病新生儿的护理质量。
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