Department of Cardiology, Reina Sofía University Hospital. IMIBIC. University of Cordoba, Córdoba, Spain.
Department of Cardiology, Hospital Universitari de Bellvitge, University of Barcelona, Bioheart-Cardiovascular Disease Group, IDIBELL, Hospitalet de Llobregat, Barcelona, Spain.
ESC Heart Fail. 2022 Oct;9(5):3649-3654. doi: 10.1002/ehf2.14029. Epub 2022 Jul 1.
To describe logistics and outcomes of the accreditation program of centres of excellence in heart failure (HF) developed in Spain by the Spanish Society of Cardiology (SEC) between 2016 and 2021.
A scientific committee created by the SEC defined three types of HF units (community, specialized, and advanced), depending on the characteristics of the hospital and their portfolio of services and equipment, as well as the quality standards required for the accreditation of excellence. The units were required to submit to the SEC a document certifying compliance with the requirements and quality standards. Once verified these, the unit received accreditation of excellence from the SEC. Between 2017 and October 2021, 78 HF units spread throughout Spain applied for accreditation. This represents 50.6% of all Spanish national health system centres with cardiology departments. Accreditation was definitive in 56.4% of the applicant centres and provisional in the remaining 43.6%. Of the 78 units, 19 were community units, 44 specialized, and 15 advanced. Of the 34 units that received provisional accreditation for failure to meet any of the required quality standards, all resolved these deficits within 6 months of the initial evaluation, subsequently receiving definitive accreditation.
Our experience indicates that implementation of an accreditation programme for excellence and quality of care of HF units at the national level by a scientific society is feasible and sustainable over time, leading the majority of HF units in the country to apply for accreditation and to meet the required quality standards.
描述 2016 年至 2021 年间西班牙心脏病学会（SEC）在西班牙开发的心力衰竭（HF）卓越中心认证计划的后勤和结果。
SEC 成立的一个科学委员会根据医院的特点及其服务和设备组合以及卓越认证所需的质量标准，定义了三种类型的 HF 单位（社区、专业和高级）。要求这些单位向 SEC 提交一份证明符合要求和质量标准的文件。一旦验证了这些文件，该单位就会获得 SEC 的卓越认证。2017 年至 2021 年 10 月期间，西班牙各地有 78 个 HF 单位申请认证。这代表了西班牙国家卫生系统中所有具有心脏病学部门的中心的 50.6%。在申请中心中，56.4%的认证是确定的，43.6%的是临时的。在 78 个单位中，有 19 个是社区单位，44 个是专业单位，15 个是高级单位。在因不符合任何要求的质量标准而获得临时认证的 34 个单位中，所有单位都在初始评估后的 6 个月内解决了这些缺陷，随后获得了正式认证。
我们的经验表明，由科学学会在国家层面上实施 HF 单位卓越和护理质量的认证计划是可行的，并且随着时间的推移是可持续的，这促使该国大多数 HF 单位申请认证并达到所需的质量标准。
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