Collopy B T, Balding C
Australian Council on Healthcare Standards (ACHS) Care Evaluation Program, East Melbourne, Victoria.
Jt Comm J Qual Improv. 1993 Nov;19(11):510-6. doi: 10.1016/s1070-3241(16)30032-3.
The Australian Council on Healthcare Standards (ACHS) conducts a voluntary program of health facility accreditation modeled along the lines of the Joint Commission. To increase clinician involvement in the accreditation process and in quality assurance programs and to enable some assessment of the outcome of care in a facility at the time of survey, the ACHS, together with the medical colleges, is developing objective measures of care (clinical indicators).
Ten medical colleges are now involved in the program. The first set of measures, the Hospital-Wide Medical Indicators (HWMIs) developed in conjunction with the Royal Australian College of Medical Administrators, was formally introduced into the accreditation process in January 1993. These indicators were developed by a combined working party of the Care Evaluation Program and the Royal Australian College of Medical Administrators. The HWMIs address the areas of trauma, postoperative pulmonary embolism, readmissions to hospital, returns to the operating room, hospital-acquired infection, medication errors, and hospital throughout.
It is hoped that the development of objective measures of care (clinical indicators) will facilitate the accreditation process. The development of these measures also enables Australian physicians to compare patient care throughout the hospital with national indicators of quality of care.
澳大利亚医疗保健标准委员会（ACHS）开展了一项自愿参与的医疗机构认证项目，该项目仿照联合委员会的模式。为了提高临床医生在认证过程和质量保证项目中的参与度，并在调查时能够对医疗机构的护理结果进行一定评估，ACHS与医学院校共同制定护理客观指标（临床指标）。
目前有十所医学院校参与该项目。与澳大利亚皇家医学管理者学院联合制定的首批指标，即全院医疗指标（HWMIs）于1993年1月正式引入认证流程。这些指标由护理评估项目组和澳大利亚皇家医学管理者学院的联合工作组制定。HWMIs涵盖创伤、术后肺栓塞、再次入院、重返手术室、医院感染、用药错误以及医院整体运营等方面。
希望护理客观指标（临床指标）的制定将有助于认证过程。这些指标的制定也使澳大利亚医生能够将全院的患者护理情况与全国护理质量指标进行比较。
