Department of Epidemiology and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, Vic. 3004, Australia; and Corresponding author. Email:
Alfred Health, 55 Commercial Road, Melbourne, Vic. 3004, Australia. Email:
Aust Health Rev. 2020 Jun;44(3):421-426. doi: 10.1071/AH19004.
This initiative sought to identify unit participation in clinical registries within a large metropolitan health service and to develop approaches to integration of registry reporting within the organisational clinical governance framework to maximise potential quality improvement benefits. The initiative, led by the Medical Services Department at Alfred Health, initially involved identifying health service participation in clinical registries via a range of mechanisms, including one-on-one meetings with clinical registry investigators. In conjunction with the Clinical Governance Unit, tools to summarise and track clinical registry information at Alfred Health over time were developed and piloted. Alfred Health identified 69 clinical registries in which its units participated. These were heterogeneous in terms of clinical area and purpose, as well as the nature and frequency of reporting. Engagement with clinicians led to the establishment of a registry interest group, a calendar of clinical quality registry reports, and a guideline and reporting template and dashboard. Clinician engagement and medical leadership were critical to the development of this initiative. The reporting tool and dashboard have had initial success, with long-term success ultimately being measured by the routine incorporation of registry outcomes into clinical governance reporting over time.
这项计划旨在确定大型都市卫生服务机构内各单位参与临床注册的情况，并制定方法，将注册报告纳入组织临床治理框架内，以尽量发挥提高质量的潜力。这项计划由艾尔弗雷德健康医学服务部牵头，最初涉及通过多种机制确定卫生服务机构参与临床注册，包括与临床注册研究员进行一对一的会议。与临床治理股一起，开发和试行用于在艾尔弗雷德健康长期总结和跟踪临床注册信息的工具。艾尔弗雷德健康确定了其单位参与的 69 个临床注册。这些注册在临床领域和目的、报告的性质和频率方面存在差异。与临床医生的接触促成了注册兴趣小组的建立、临床质量注册报告的日程安排，以及准则和报告模板及仪表板的建立。临床医生的参与和医学领导对该计划的发展至关重要。报告工具和仪表板已取得初步成功，最终的长期成功将通过随着时间的推移将注册结果纳入临床治理报告的常规做法来衡量。
