Division of Research and Optimal Patient Care, American College of Surgeons, 633 North St. Clair Street, 23Road Floor, Chicago, IL 60611, USA; Department of Surgery, Surgical Outcomes and Quality Improvement Center (SOQIC), Northwestern Medicine, Chicago, IL, USA.
Division of Research and Optimal Patient Care, American College of Surgeons, 633 North St. Clair Street, 23Road Floor, Chicago, IL 60611, USA; Loyola University Medical Center, Maywood, IL, USA.
Surg Clin North Am. 2021 Feb;101(1):121-134. doi: 10.1016/j.suc.2020.09.010.
Acquisition of data on clinical performance is essential to improve outcomes in surgery. Large, national datasets allow hospitals to monitor events involving patient safety, complications, and benchmark against peer hospitals and facilitate quality improvement (QI) development. Although clinical datasets are often preferable, administrative data also have potential for actionable QI. Hospitals should use whatever data resources may be available and be creative in combining data sources for the most clinically meaningful metrics. Although collection of data is essential in understanding the problems an individual hospital is facing, rigorous QI infrastructure is necessary to translate data to action and achieve sustained change.
获取临床绩效数据对于改善手术结果至关重要。大型国家数据集可使医院能够监测涉及患者安全、并发症的事件，并与同行医院进行基准比较，从而促进质量改进 (QI) 的发展。虽然临床数据集通常更可取，但管理数据也具有用于可操作 QI 的潜力。医院应利用可能获得的任何数据资源，并在为最有意义的临床指标组合数据源方面具有创造力。尽管收集数据对于了解单个医院所面临的问题至关重要，但严格的 QI 基础设施对于将数据转化为行动并实现持续变革也是必要的。
