Nugent W C, Schults W C
Section of Cardiothoracic Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756.
Ann Thorac Surg. 1994 Dec;58(6):1866-70. doi: 10.1016/0003-4975(94)91729-9.
The Northern New England Cardiovascular Study Group has been using clinical epidemiology to analyze outcomes data in patients undergoing cardiac surgical procedures to answer three questions: (1) for the surgeon: how am I doing?, (2) for the patient: what are my chances?, and (3) for society: can outcomes data be voluntarily collected and organized in a way to improve care delivery? The Dartmouth-Hitchcock Medical Center cardiac surgery program has combined this regional outcomes data with the internal development of critical pathways; with evaluations of patient expectations, patient satisfaction, and patient functional health; and with innovative techniques of data display in an effort to improve the cardiac surgical outcomes in patients at the center. The length of stay has declined, and both the mortality rate and readmission rate have remained stable.
新英格兰北部心血管研究小组一直在运用临床流行病学分析接受心脏手术患者的预后数据，以回答三个问题：（1）对外科医生而言：我的手术效果如何？（2）对患者而言：我的康复几率有多大？（3）对社会而言：能否以自愿方式收集和整理预后数据以改善医疗服务？达特茅斯-希区柯克医疗中心的心脏外科项目将该地区的预后数据与关键路径的内部开发、患者期望、患者满意度及患者功能健康评估以及创新的数据展示技术相结合，以努力改善该中心患者的心脏手术预后。住院时间缩短，死亡率和再入院率均保持稳定。
