Singh Aminder A, Boyle Jonathan R
is an Academic Clinical Fellow in Vascular Surgery at Cambridge Vascular Unit, Cambridge University Hospitals and Department of Surgery, University of Cambridge, UK. Conflicts of interest: none declared.
is a Consultant Vascular Surgeon at Cambridge Vascular Unit, Cambridge University Hospitals; Clinical Lead for the National Vascular Registry; Chair of the Audit and Quality Improvement Committee of the Vascular Society of Great Britain and Ireland, UK. Conflict of interests: none declared.
Surgery (Oxf). 2020 Oct;38(10):632-636. doi: 10.1016/j.mpsur.2020.07.010. Epub 2020 Aug 30.
Defining and maintaining quality is essential to surgical practice. It is only through structured approaches to assessing outcomes that we can ensure that optimal care is delivered. This article will define quality in healthcare and discuss assessment models with reference to pertinent surgical literature. National initiatives are discussed with a critical appraisal of their role and effectiveness. We discuss the aim of quality improvement initiatives and comment on reporting of outcomes. The difficult question of how to maintain quality during a crisis, such as an infectious disease pandemic, is addressed.
定义并维持质量对于外科手术实践至关重要。只有通过结构化的方法来评估结果，我们才能确保提供最佳的护理。本文将定义医疗保健中的质量，并参考相关外科文献讨论评估模型。文中讨论了国家倡议，并对其作用和有效性进行了批判性评估。我们讨论了质量改进倡议的目标，并对结果报告发表了评论。文中还探讨了在诸如传染病大流行这样的危机期间如何维持质量这一难题。
