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医疗质量与死亡率相关：牙买加急性肠胃炎婴儿的医院住院治疗管理

The quality of care is related to death rates: hospital inpatient management of infants with acute gastroenteritis in Jamaica.

作者信息

Walker G J, Ashley D E, Hayes R J

机构信息

Evaluation and Planning Center, London School of Hygiene and Tropical Medicine, England.

出版信息

Am J Public Health. 1988 Feb;78(2):149-52. doi: 10.2105/ajph.78.2.149.

DOI:10.2105/ajph.78.2.149
PMID:3337327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1349105/
Abstract

The quality of care of random samples of about 40 infants admitted with acute gastroenteritis to each of five hospitals in Jamaica was assessed. Low levels of adherence to consensus care criteria appeared to be correlated with high levels of hospital-specific severity standardized mortality ratios X100 (SSMRs); poor adherence, SSMR 127-230; intermediate adherence, SSMR 95; good adherence, SSMR 14. The main deficiencies in care at certain hospitals were: non-weighing of infants, incomplete physical examination, inadequate estimation of fluid requirements, and irregular recording of fluid intake. To improve the effective care of infants with gastroenteritis, a quality assurance program is required.

摘要

对牙买加五家医院中每家随机抽取的约40名因急性肠胃炎入院的婴儿的护理质量进行了评估。对共识护理标准的低依从水平似乎与医院特定严重程度标准化死亡率X100（SSMRs）的高水平相关；依从性差，SSMR为127 - 230；中等依从性，SSMR为95；依从性好，SSMR为14。某些医院护理方面的主要不足包括：未对婴儿称重、体格检查不完整、对液体需求量估计不足以及液体摄入量记录不规律。为改善对肠胃炎婴儿的有效护理，需要一个质量保证项目。

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A study of diarrhoea-enteritis deaths in infants in Manila, Philippines. Report of a Joint Study Group of the Institute of Hygine, University of the Philippines, and the Manila Health Department.菲律宾马尼拉婴儿腹泻性肠炎死亡情况研究。菲律宾大学卫生研究所与马尼拉卫生局联合研究小组报告。
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