Ohmann C
Funktionsbereich Theoretische Chirurgie, Heinrich-Heine-Universität Düsseldorf.
Chirurg. 1995 Jul;66(7):657-64.
The process of quality assurance is related to all measures and actions used to achieve the required quality. There is agreement about the aim and benefit of quality assurance, but the appropriate way is a matter of discussion. This paper deals from a theoretical viewpoint with basic problems of quality assurance that have not been evaluated adequately so far: a) criteria for measuring quality, b) measuring quality with adjustment for case-mix and c) evaluation of the effects of quality assurance. During the last years tools and study designs have been developed, which could contribute to the solution of these problems by a more sensible analysis, more complete and quality-controlled data and more useful evaluation studies. Further improvements in external quality assurance in surgery are to be expected, if these aspects are taken into consideration.
质量保证过程涉及用于实现所需质量的所有措施和行动。对于质量保证的目标和益处存在共识，但合适的方法仍是一个讨论的问题。本文从理论角度探讨了迄今为止尚未得到充分评估的质量保证的基本问题：a）质量衡量标准，b）针对病例组合进行调整的质量衡量，以及c）质量保证效果的评估。在过去几年中，已经开发出了工具和研究设计，通过更合理的分析、更完整且经过质量控制的数据以及更有用的评估研究，这些工具和设计有助于解决这些问题。如果考虑到这些方面，预计外科手术的外部质量保证将得到进一步改善。
