Vera-López Juan Daniel, Heredia-Pi Ileana Beatriz, Pérez-Núñez Ricardo, Hijar Martha
Escuela de Salud Pública de México, Doctorado en Ciencias en Sistemas de Salud. Cuernavaca, Morelos, México.
Instituto Nacional de Salud Pública, Centro de Investigación en Sistemas de Salud. Cuernavaca, Morelos, México.
Rev Med Inst Mex Seguro Soc. 2023 Nov 6;61(6):819-840. doi: 10.5281/zenodo.10064412.
The objective of this paper was to identify the main indicators used to measure the performance in emergency trauma care. A literature review was carried out in the electronic databases: PubMEd, LILACS and Epistemónikos, including publications between January 2011 and December 31, 2021, in Spanish, English and Portuguese. A total of 962 publications were identified. When reviewing the full text, 48 articles were included. The indicators were classified in the dimensions of process and results. 100 different indicators were identified to analyze the performance of emergency trauma care. 71% were process indicators, including service time and triage. In the results dimension 29 indicators were identified; mortality was the indicator most analyzed as well as length of stay. Six indicators on the disability of injured people and 14 indicators related to satisfaction were identified, the most frequent being complaints. Various indicators have been used to assess the performance of emergency trauma care. In the results dimension, the indicators related to satisfaction and disability after injuries have been little explored. Decision-makers and those responsible for emergency care must promote performance evaluation exercises to learn about their current situation using appropriate and sensitive indicators with the available data.
本文的目的是确定用于衡量急诊创伤护理绩效的主要指标。在电子数据库PubMEd、LILACS和Epistemónikos中进行了文献综述，纳入了2011年1月1日至2021年12月31日期间以西班牙语、英语和葡萄牙语发表的文献。共识别出962篇出版物。在审阅全文时，纳入了48篇文章。这些指标在过程和结果维度上进行了分类。共识别出100个不同的指标来分析急诊创伤护理的绩效。71%是过程指标，包括服务时间和分诊。在结果维度上识别出29个指标；死亡率是分析最多的指标以及住院时间。识别出了6个关于伤者残疾的指标和14个与满意度相关的指标，最常见的是投诉。已经使用了各种指标来评估急诊创伤护理的绩效。在结果维度上，与伤者满意度和残疾相关的指标研究较少。决策者和负责急诊护理的人员必须推动绩效评估工作，以便利用现有数据使用适当且敏感的指标了解其当前状况。
