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澳大利亚和新西兰重症监护学会核心项目三十年:临床质量成功典范

Thirty years of ANZICS CORE: A clinical quality success story.

作者信息

Secombe Paul, Millar Johnny, Litton Edward, Chavan Shaila, Hensman Tamishta, Hart Graeme K, Slater Anthony, Herkes Robert, Huckson Sue, Pilcher David V

机构信息

The Australian and New Zealand Intensive Care Society (ANZICS) Centre for Outcome and Resource Evaluation, High Street, Prahran, Victoria 3004, Australia.

Department of Intensive Care, Alice Springs Hospital, Northern Territory 0870, Australia.

出版信息

Crit Care Resusc. 2023 May 20;25(1):43-46. doi: 10.1016/j.ccrj.2023.04.009. eCollection 2023 Mar.

DOI:10.1016/j.ccrj.2023.04.009
PMID:37876992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10581273/
Abstract

In 2023, the Australian and New Zealand Intensive Care Society (ANZICS) Registry run by the Centre for Outcomes and Resources Evaluation (CORE) turns 30 years old. It began with the Adult Patient Database, the Australian and New Zealand Paediatric Intensive Care Registry, and the Critical Care Resources Registry, and it now includes Central Line Associated Bloodstream Infections Registry, the Extra-Corporeal Membrane Oxygenation Database, and the Critical Health Resources Information System. The ANZICS Registry provides comparative case-mix reports, risk-adjusted clinical outcomes, process measures, and quality of care indicators to over 200 intensive care units describing more than 200 000 adult and paediatric admissions annually. The ANZICS CORE outlier management program has been a major contributor to the improved patient outcomes and provided significant cost savings to the healthcare sector. Over 200 peer-reviewed papers have been published using ANZICS Registry data. The ANZICS Registry was a vital source of information during the COVID-19 pandemic. Upcoming developments include reporting of long-term survival and patient-reported outcome and experience measures.

摘要

2023年,由结果与资源评估中心(CORE)运营的澳大利亚和新西兰重症监护学会(ANZICS)注册机构迎来了成立30周年。它最初包括成人患者数据库、澳大利亚和新西兰儿科重症监护注册机构以及重症监护资源注册机构,现在还涵盖了中心静脉导管相关血流感染注册机构、体外膜肺氧合数据库以及关键健康资源信息系统。ANZICS注册机构每年为200多个重症监护病房提供病例组合比较报告、风险调整后的临床结果、过程指标以及护理质量指标,这些报告描述了超过20万例成人和儿科住院病例。ANZICS CORE异常值管理项目对改善患者预后起到了重要作用,并为医疗保健部门节省了大量成本。利用ANZICS注册机构的数据已发表了200多篇同行评议论文。在新冠疫情期间,ANZICS注册机构是重要的信息来源。未来的发展包括报告长期生存率以及患者报告的结局和体验指标。

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