绩效与急诊室流程标准合规性审计反馈的时间关系。

The time relationship of performance and audit feedback on conformance with emergency department process criteria.

作者信息

Ognibene M, McNitt H, Wolcott B W

出版信息

Ann Emerg Med. 1980 Mar;9(3):123-5. doi: 10.1016/s0196-0644(80)80265-4.

Abstract

Adherence to physician-developed process criteria is critical to the medical and legal acceptance of algorithm-directed nonphysician care of acute non-life-threatening illnesses seen in the emergency department. It is generally assumed that adherence to prescribed medical process criteria results in acceptable patient outcomes. We evaluated changes in compliance with varying time delays in audit feedback and varying degrees of supervision. Our evaluation indicated that, under ideal circumstances of daily audit and supervisory feedback, a conformance rate of 80% was achieved. This is a 100% improvement over a group in which neither element was operative.

摘要

遵循医生制定的流程标准对于急诊科中算法指导的非医生对急性非危及生命疾病的护理在医学和法律上被认可至关重要。一般认为，遵循规定的医疗流程标准会带来可接受的患者结果。我们评估了在不同的审核反馈时间延迟和不同程度的监督下依从性的变化。我们的评估表明，在每日审核和监督反馈的理想情况下，合规率达到了80%。这比两个要素都未实施的组提高了100%。