From the Division of Acute Care Surgery, Department of Surgery (S.W.R.), Atrium Health Carolinas Medical Center, Wake Forest School of Medicine, Charlotte, North Carolina; Division of Acute Care Surgery, Department of Surgery (M.W.W.), The University of Texas Health Sciences Center at Houston, Houston, Texas; Division of Burns, Trauma, Acute, and Critical Care Surgery, Department of Surgery (B.R.B., J.P.M.), University of Texas Southwestern School of Medicine, Dallas, Texas; Division of Acute Care Surgery, Department of Surgery (R.S.M.), Wake Forest School of Medicine, Winston-Salem, North Carolina; Division of Acute Care Surgery, Department of Surgery (J.W.S.), University of Michigan, Ann Arbor, Michigan; Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, Department of Surgery (J.J.D.), University of California San Diego, San Diego California, California; Division of General Surgery, Trauma and Surgical Critical Care, Department of Surgery (K.A.D.), Yale School of Medicine, New Haven, Connecticut; and Division of Acute Care Surgery, Department of Surgery (K.L.S.), Stanford University, Stanford, California.
J Trauma Acute Care Surg. 2022 Jul 1;93(1):e30-e39. doi: 10.1097/TA.0000000000003638. Epub 2022 Apr 8.
The prior article in this series delved into measuring cost in acute care surgery, and this subsequent work explains in detail how quality is measured. Specifically, objective quality is based on outcome measures, both from administrative and clinical registry databases from a multitude of sources. Risk stratification is key in comparing similar populations across diseases and procedures. Importantly, a move toward focusing on subjective outcomes like patient-reported outcomes measures and financial well-being are vital to evolving surgical quality measures for the 21st century.
本系列的前一篇文章深入探讨了在急性护理外科中衡量成本的问题，而这篇后续文章则详细解释了如何衡量质量。具体来说，客观质量基于来自多种来源的行政和临床登记数据库中的结果测量。风险分层是在比较不同疾病和手术的相似人群时的关键。重要的是，关注像患者报告的结果测量和财务幸福感等主观结果，对于为 21 世纪的外科质量衡量标准的发展是至关重要的。
