Department of Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, the Netherlands; Department of Cardiac Surgery, Dedinje Cardiovascular Institute, Belgrade, Serbia.
Department of Cardiac Surgery, Queen Elizabeth University Hospital, Birmingham, United Kingdom.
Semin Thorac Cardiovasc Surg. 2020;32(1):8-13. doi: 10.1053/j.semtcvs.2019.07.013. Epub 2019 Jul 29.
Over the last 12 years, surgeon representatives from the 33 participating hospitals of the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative (MSTCVS-QC), along with data specialists, surgical and quality improvement (QI) teams, have met at least 4 times a year to improve health-care quality and outcomes of cardiac and general thoracic surgery patients. The MSTCVS-QC nature of interactive learning has allowed all members to examine current data from each site in an unblinded manner for benchmarking, learn from their findings, institute clinically meaningful changes in survival and health-related quality of life, and carefully follow the effects. These meetings have resulted in agreement on various interventions to improve patient selection, periprocedural strategies, and adherence with evidence-based directed medication regimens, Factors contributing to the quality movement across hospitals include statewide-recognized clinicians who are eager to involve themselves in QI initiatives, dedicated health-care professionals at the hospital level, trusting environments in which failure is only a temporary step on the way toward achieving QI goals, real-time analytics of accurate data, and payers who strongly support QI efforts designed to improve outcomes.
在过去的 12 年中，密歇根心胸外科医师学会质量协作会（MSTCVS-QC）的 33 家参与医院的外科医生代表，以及数据专家、外科和质量改进（QI）团队，每年至少开会 4 次，以提高心脏和普通胸外科患者的医疗质量和结果。MSTCVS-QC 的互动学习性质允许所有成员以非盲方式检查每个站点的当前数据，以进行基准测试，从他们的发现中学习，实施对生存和健康相关生活质量有意义的临床改变，并仔细跟踪效果。这些会议促成了各种干预措施的一致意见，以改善患者选择、围手术期策略以及坚持基于证据的定向药物治疗方案。促成医院之间质量运动的因素包括全州公认的热心参与 QI 计划的临床医生、医院层面的敬业医疗保健专业人员、在失败只是实现 QI 目标道路上的一个临时步骤的信任环境、准确数据的实时分析以及强烈支持旨在改善结果的 QI 努力的付款人。
