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医疗保健中的基准评估:将挑战转化为成功。

Benchmarking in health care: turning challenges into success.

作者信息

Berkey T

机构信息

SunHealth Alliance, Charlotte, NC 28266-8800.

出版信息

Jt Comm J Qual Improv. 1994 May;20(5):277-84. doi: 10.1016/s1070-3241(16)30072-4.

Abstract

BACKGROUND

Since 1990, more than 120 partner hospitals have participated in 15 projects using a collaborative benchmarking approach developed by SunHealth Alliance.

EXAMPLE

Medical records project. Twenty hospitals focused on activities that could reduce accounts receivable days in medical records for Medicare inpatients. Thirty-five key practices, as identified by correspondence and site visits for four benchmark hospitals, were reviewed with all 20 hospitals.

EXAMPLE

Pneumonia project. Four hospitals focused on reducing the length of stay and mortality rates for pneumonia (DRG [diagnosis-related group] 89) patients. Each hospital formed internal task forces, who reviewed comparative data, analyzed their hospitals' internal care processes, determined opportunities for improvement, and chose best practices for implementation-including standardizing the sputum-collection process and developing a clinical path. Meeting the challenge. Hospitals should strive for innovation, seek new goals of excellence, and share their successes with other hospitals.

摘要

背景

自1990年以来,超过120家合作医院参与了15个项目,这些项目采用了由太阳健康联盟开发的协作基准方法。

示例

病历项目。20家医院专注于可减少医疗保险住院患者病历应收账款天数的活动。通过对四家基准医院的信函往来和实地考察确定了35项关键做法,并与所有20家医院进行了审查。

示例

肺炎项目。四家医院专注于降低肺炎(诊断相关组[DRG]89)患者的住院时间和死亡率。每家医院都组建了内部特别工作组,这些工作组审查比较数据、分析医院的内部护理流程、确定改进机会并选择最佳做法予以实施,包括规范痰液采集流程和制定临床路径。应对挑战。医院应努力创新,追求新的卓越目标,并与其他医院分享成功经验。

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