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基于监控关键医疗质量指标提高缺血性卒中医疗质量的效果评价

Evaluation on effect of improving medical quality of ischemic stroke based on mornitoring medical key performance index

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【作者】 黄渊炳苏全喜张建媛陈石伙陈德杰江瑜江小兰陈东燃李玲徐安定

【Author】 Huang Yuanbing;Su Quanxi;Zhang Jianyuan;Chen Shihuo;Chen Dejie;Jiang Yu;Jiang Xiaolan;Chen Dongran;Li Ling;Xu Anding;Department of Neurology,Yunfu Municipal People’s Hospital;Department of Neurology,First Affiliated Hospital of Sun Yat-sen University;Department of Neurology,First Affiliated Hospital of Jinan University;

【通讯作者】 徐安定;

【机构】 广东省云浮市人民医院神经内科中山大学附属第一医院神经内科暨南大学附属第一医院神经内科

【摘要】 目的:监控缺血性脑卒中关键医疗质量指标(KPI)提高缺血性卒中医疗质量。方法:参照2007年国家卫生部制定的缺血性脑卒中/脑梗塞的质控指标及美国2003年开展一项大型研究"跟着指南走-卒中(Get With The Guideline-Stroke)"中的KPI,按照纳入标准收集2015年8月至2016年8月KPI,将之与我院2011年1月至2012年1月数据纵向比较,并与2012年华侨医院、2012-2013 CNSR及2009GWTG相关数据横向比较。结果:纳入患者342名,溶栓人次、出院抗栓、出院降脂明显提高,但和美国相应指标比较仍然存在很大差距。结论:通过监控KPI可以提高缺血性卒中医疗质量。

【Abstract】 Objective:To improve the medical quality of ischemic stroke based on mornitoring medical key performance index(KPI).Methods:According to the quality control index of ischemic stroke/cerebral infarction established by the Ministry of Health in 2007 and the KPI in a large study,"Get With Guideline-Stroke "(GWTG) carried out in the United States in 2003,the KPIs were included between August 2015 and August2016.The KPIs were compared with the data included in our hospital between January 2011 and January 2012 longitudinally.The KPIs were compared with the related data included in the Overseas Chinese Hospital in 2012,CNSR between 2012 and 2013,and GWTG in 2009 horizontally.Results:A total of 342 patients was included in the study.The number of thrombolysis,antithrombotic therapy after discharge and lipid-lowering therapy after discharge were significantly improved,whereas there were significant differences compared with those in the United States.Conclusion:Monitoring KPI may improve the medical quality of ischemic stroke.

【关键词】 缺血性卒中医疗质量KPI
【Key words】 Ischemic strokemedical qualityKPI
【基金】 广东省医学科学技术基金(B2015115)
  • 【文献出处】 广州医科大学学报 ,Academic Journal of Guangzhou Medical University , 编辑部邮箱 ,2018年04期
  • 【分类号】R743.3
  • 【被引频次】2
  • 【下载频次】54
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