Drynda Susanne, Schindler Wencke, Slagman Anna, Pollmanns Johannes, Horenkamp-Sonntag Dirk, Schirrmeister Wiebke, Otto Ronny, Bienzeisler Jonas, Greiner Felix, Drösler Saskia, Lefering Rolf, Hitzek Jennifer, Möckel Martin, Röhrig Rainer, Swart Enno, Walcher Felix
Department of Trauma Surgery, Otto von Guericke University, Magdeburg, Germany
Institute of Social Medicine and Health Systems Research, Otto von Guericke University, Magdeburg, Germany.
BMJ Open. 2020 Sep 17;10(9):e038776. doi: 10.1136/bmjopen-2020-038776.
Quality of emergency department (ED) care affects patient outcomes substantially. Quality indicators (QIs) for ED care are a major challenge due to the heterogeneity of patient populations, health care structures and processes in Germany. Although a number of quality measures are already in use, there is a paucity of data on the importance of these QIs on medium-term and long-term outcomes. The evaluation of outcome relevance of quality indicators in the emergency department study (ENQuIRE) aims to identify and investigate the relevance of QIs in the ED on patient outcomes in a 12-month follow-up.
The study is a prospective non-interventional multicentre cohort study conducted in 15 EDs throughout Germany. Included are all patients in 2019, who were ≥18 years of age, insured at the Techniker Krankenkasse (statutory health insurance (SHI)) and gave their written informed consent to the study.The primary objective of the study is to assess the effect of selected quality measures on patient outcome. The data collected for this purpose comprise medical records from the ED treatment, discharge (claims) data from hospitalised patients, a patient questionnaire to be answered 6-8 weeks after emergency admission, and outcome measures in a 12-month follow-up obtained as claims data from the SHI.Descriptive and analytical statistics will be applied to provide summaries about the characteristics of QIs and associations between quality measures and patient outcomes.
Approval of the leading ethics committee at the Medical Faculty of the University of Magdeburg (reference number 163/18 from 19 November 2018) has been obtained and adapted by responsible local ethics committees.The findings of this work will be disseminated by publication of peer-reviewed manuscripts and presentations as conference contributions (abstracts, poster or oral presentations).Moreover, results will be discussed with clinical experts and medical associations before being proposed for implementation into the quality management of EDs.
German Clinical Trials Registry (DRKS00015203); Pre-results.
急诊科护理质量对患者预后有重大影响。由于德国患者群体、医疗保健结构和流程的异质性，急诊科护理质量指标是一项重大挑战。尽管已经采用了一些质量措施，但关于这些质量指标对中期和长期预后重要性的数据却很少。急诊科质量指标结局相关性评估研究（ENQuIRE）旨在识别和调查急诊科质量指标在12个月随访中对患者结局的相关性。
本研究是一项前瞻性非干预性多中心队列研究，在德国各地的15个急诊科进行。纳入2019年所有年龄≥18岁、在技术人员健康保险基金（法定健康保险）参保并书面同意参与本研究的患者。本研究的主要目的是评估选定质量措施对患者结局的影响。为此收集的数据包括急诊科治疗的病历、住院患者的出院（理赔）数据、急诊入院后6 - 8周要回答的患者问卷，以及作为法定健康保险理赔数据获得的12个月随访中的结局指标。将应用描述性和分析性统计来总结质量指标的特征以及质量措施与患者结局之间的关联。
已获得马格德堡大学医学院主要伦理委员会的批准（参考编号2018年11月19日的163/18），并由负责的当地伦理委员会进行了调整。本研究结果将通过发表同行评审的手稿以及作为会议投稿（摘要、海报或口头报告）进行展示来传播。此外，在提议将结果应用于急诊科质量管理之前，将与临床专家和医学协会进行讨论。
德国临床试验注册中心（DRKS00015203）；预结果。
