Blackmore Abigail R, Leonard Jan, Madayag Robert, Bourg Pamela W
Trauma Services Department (Ms Blackmore and Drs Madayag and Bourg) and Department of Trauma Research (Mr Leonard), St. Anthony Hospital, Lakewood, Colorado.
J Trauma Nurs. 2019 May/Jun;26(3):121-127. doi: 10.1097/JTN.0000000000000436.
The American College of Surgeons Trauma Quality Improvement Program (TQIP) provides trauma centers with hospital-specific performance data and the ability to compare their performance data with that of similar hospitals nationwide. Utilizing the TQIP data and drill down feature can lead to changes in clinical practice and improved care. The purpose of this article is to provide a guide that demonstrates how using the TQIP hospital-specific data can improve outcomes. We recommend 4 separate categories by which data and reports should be evaluated: processes of care, quality of care, data coding, and data mapping. We discuss these categories using 4 targeted examples. Utilizing our guidelines, trauma programs participating in the TQIP should be able to (1) identify trends and focus on outliers in their institutional data, (2) create processes and implement practice improvements, and (3) evaluate the results of their corrective action plan. This topic may be of special interest to those involved in the management of programs or systems-level policies as reduction in costs and improving quality are program drivers.
美国外科医师学会创伤质量改进项目（TQIP）为创伤中心提供特定医院的绩效数据，并使其能够将自身绩效数据与全国范围内类似医院的数据进行比较。利用TQIP数据及深入分析功能可带来临床实践的改变并改善医疗服务。本文旨在提供一份指南，展示如何使用TQIP特定医院数据来改善治疗结果。我们建议从四个不同类别评估数据和报告：护理流程、护理质量、数据编码和数据映射。我们通过四个有针对性的例子来讨论这些类别。遵循我们的指南，参与TQIP的创伤项目应能够：（1）识别机构数据中的趋势并关注异常值；（2）创建流程并实施实践改进；（3）评估其纠正行动计划的结果。由于降低成本和提高质量是项目的驱动因素，因此该主题可能会引起参与项目管理或系统层面政策制定的人员的特别关注。
