Llop Talaverón J M, Badía Tahull M B, Tubau Molas M
Unidad de Nutrición Parenteral, Ciudad Sanitaria de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
Nutr Hosp. 1993 Jan;8(1):43-52.
the concept of quality is basic to any type of clinical/care activity and with parenteral nutrition (NP), the notion is of particular significance in the field of its clinical monitoring. The aim of this paper is to reveal the NP care level based on our experience in clinical monitoring in 1988, and to select the indicators to be evaluated for initiating NP quality control.
An analysis is made of the existing structure in our hospital, formed by the NP Unit and the NP and Enteral Nutrition Commission, which are subject to a policy of coordination in order to ensure their function. The process is divided into two aspects for the analysis - teaching and care. The clinical monitoring data of NP patients in 1988 were taken as reference in defining the indicators.
The indices are presented which were obtained from the analysis of the data of a general nature, from an assessment of the degree of compliance with the procedure, and from the quantification of complications and the indicators elected as quality parameters.
Although the clinical monitoring of the PN began with the general wish to evaluate different aspects associated with nutritional therapy, this focus later evolved toward the notion of quality. Not all the data gathered during the clinical monitoring can be taken as quality criteria: only those deemed to be more relevant, or of greater clinical significance, and which can be reliably measured, can be treated thus.
质量概念是任何类型临床/护理活动的基础，对于肠外营养（PN）而言，这一概念在其临床监测领域具有特别重要的意义。本文旨在基于我们1988年临床监测的经验揭示PN护理水平，并选择用于启动PN质量控制的待评估指标。
对我院现有的结构进行分析，该结构由PN单元以及PN与肠内营养委员会组成，它们遵循协调政策以确保其功能。该过程分为教学和护理两个方面进行分析。1988年PN患者的临床监测数据被用作定义指标的参考。
列出了从一般性数据分析、程序合规程度评估、并发症量化以及选为质量参数的指标中获得的指数。
尽管PN的临床监测最初是出于评估与营养治疗相关的不同方面的总体愿望，但这种关注点后来演变为质量概念。并非临床监测期间收集的所有数据都可作为质量标准：只有那些被认为更相关、具有更大临床意义且可可靠测量的数据才能如此处理。
