Heupler F A, al-Hani A J, Dear W E
Department of Cardiology, Cleveland Clinic Foundation, Ohio.
Cathet Cardiovasc Diagn. 1993 Nov;30(3):191-200. doi: 10.1002/ccd.1810300303.
The Laboratory Performance Standards Committee of the Society for Cardiac Angiography and Interventions has compiled guidelines for a quality improvement program for the cardiac catheterization laboratory. The first step is to identify "quality indicators" in order to quantify the results. The indicators must be risk-adjusted to assure validity of comparative data. The second step is development of a data collection process that continues after the patient has left the catheterization laboratory. The third step, data evaluation, requires determination of normal ranges of occurrence rates and identification of adverse events that exceed these rates. An investigation should be undertaken to determine the processes and systems that may produce the undesirable outcome. The fourth step is creation of a solution to correct the deficiency. This may involve education, administrative intervention, or feedback. The final step is reassessment of the quality indicators to determine if the corrective action has been effective.
心脏血管造影与介入学会的实验室性能标准委员会已经编纂了心脏导管插入实验室质量改进计划的指南。第一步是确定“质量指标”以便量化结果。这些指标必须经过风险调整以确保比较数据的有效性。第二步是建立一个在患者离开导管插入实验室后仍持续的数据收集流程。第三步，数据评估，需要确定发生率的正常范围并识别超过这些范围的不良事件。应该进行调查以确定可能产生不良结果的流程和系统。第四步是制定解决方案以纠正缺陷。这可能涉及教育、行政干预或反馈。最后一步是重新评估质量指标以确定纠正措施是否有效。
