Division of Acute Care Surgery, Department of Surgery, Johns Hopkins Hospital, Sheikh Zayed 6107 1800 Orleans Street, Baltimore, MD 21287, USA.
Division of Acute Care Surgery, Department of Surgery, Johns Hopkins Hospital, Sheikh Zayed 6107 1800 Orleans Street, Baltimore, MD 21287, USA. Electronic address: https://twitter.com/elliotthaut.
Adv Surg. 2022 Sep;56(1):89-109. doi: 10.1016/j.yasu.2022.03.002.
Efforts to improve quality in healthcare have arisen from the recognition that the quality of care delivered and resulting outcomes are highly variable. Performance benchmarking using high-quality data to compare risk-adjusted outcomes between hospitals and surgeons has been widely adopted as one means for addressing this problem. In this article we discuss the history, current state, methodologies, and potential pitfalls of benchmarking efforts to improve quality of healthcare in the United States.
提高医疗保健质量的努力源于人们认识到所提供的护理质量和结果高度可变。使用高质量数据进行绩效基准测试,以比较医院和外科医生之间的风险调整结果,已被广泛采用作为解决这一问题的一种手段。本文讨论了在美国提高医疗保健质量的基准测试工作的历史、现状、方法学和潜在陷阱。