University of North Carolina School of Medicine, 101 Manning Drive, Physicians Office Building, Chapel Hill, NC 27516, USA.
Neurocritical Care, OhioHealth Riverside Methodist Hospital, 3535 Olentangy River Road, Columbus, OH 43214, USA.
Crit Care Clin. 2023 Jan;39(1):17-28. doi: 10.1016/j.ccc.2022.06.002.
Quality improvement is key to advancing outcomes for neurocritically ill patients. Variation in neurocritical care practice can lead to differences in health outcomes and contribute to health disparities. The implementation of evidence-based best practice standards represents a major opportunity to improve their care. Neurocritical care performance measures have recently been developed and may be used to target high priority areas for improvement. In addition, neurocritical care clinicians should be aware of the heavily weighted pay-for-performance and publicly reported performance measures that are directly relevant to neurocritical care practice.
质量改进是提高神经危重症患者治疗效果的关键。神经重症护理实践中的差异可能导致健康结果的差异,并导致健康差距的出现。实施基于证据的最佳实践标准是改善其护理的主要机会。最近已经制定了神经重症护理绩效指标,并且可以将其用于确定需要改进的高优先级领域。此外,神经重症护理临床医生应该了解与神经重症护理实践直接相关的具有高权重的按绩效付费和公开报告的绩效指标。