Kouchoukos N T
Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
Ann Thorac Surg. 1995 Nov;60(5):1526-9. doi: 10.1016/0003-4975(95)00800-Z.
Many efforts to improve the quality of care focus on information drawn from databases. Such information can be very useful; however, the acquisition and analysis of data must be undertaken with caution. Six issues related to quality of care and the acquisition and analysis of data that pose problems for thoracic surgeons are the limitations and dangers of the right to know, the inadequacy of current databases, outcomes analysis and whether they help or hurt us, increased scrutiny of our practices, practice guidelines and the standards of care, and credentialing. To maximize the benefits of databases, physicians must participate in the process of data acquisition and analysis and the formation of practice guidelines. Speaking out against the misuse of incomplete or inaccurate data and supporting Society initiatives that address these concerns will help us as we strive to maintain a strong physician-patient relationship and to deliver optimal care to our patients.
许多提高医疗质量的努力都聚焦于从数据库中获取的信息。这类信息可能非常有用；然而，数据的获取和分析必须谨慎进行。与医疗质量以及数据获取和分析相关的六个问题给胸外科医生带来了困扰，它们分别是知情权的局限性和风险、当前数据库的不足、结果分析以及其对我们是有益还是有害、对我们医疗行为的审查增加、实践指南和医疗标准，以及资质认证。为了使数据库的益处最大化，医生必须参与数据获取和分析过程以及实践指南的制定。公开反对对不完整或不准确数据的滥用，并支持协会解决这些问题的倡议，将有助于我们努力维持牢固的医患关系，并为患者提供最佳医疗服务。
