Abstract：
OBJECTIVE: In Spain, Quality Units play a key and unique role in advising healthcare centers on the methodology of healthcare quality. The objectives of the study were to develop computer algorithms to obtain a synthetic indicator of standard compliance for Quality Units and to pilot its functioning in these units.
METHODS: The Excel program was used to establish evaluation algorithms, and quantitatively interrelate and weight various categories of standards, as a computer evaluation tool, to build a continuous improvement cycle system, and offer a global synthetic indicator of compliance. The tool was tested in a prospective multicenter pilot study, in which coordinators of Quality Units from different health centers and care settings participated, to evaluate the usefulness of the tool and compliance with the standards, in addition to analyzing the content validity of each standard.
RESULTS: The formulas for the structured computer algorithms were developed, consecutively, in a «PLAN-DO-CHECK-ACT» improvement cycle for the 9 categories of standards, resulting in a single synthetic indicator of compliance. Twenty-one Quality Units participated in the piloting. The overall average compliance rate for the synthetic indicator was 55.63% with differences between centers (P=.002) and between categories (P<.0001), but not by autonomous communities (P=.86) or by areas (P=.97). Content validity was ensured through the variable of «understanding» of the standards (P<.001), and through their «justification» with documentary evidence (P<.001).
CONCLUSIONS: The computer tool with the synthetic indicator have allowed for the evaluation of standard compliance in Quality Units of healthcare centers.
METHODS: The Excel program was used to establish evaluation algorithms, and quantitatively interrelate and weight various categories of standards, as a computer evaluation tool, to build a continuous improvement cycle system, and offer a global synthetic indicator of compliance. The tool was tested in a prospective multicenter pilot study, in which coordinators of Quality Units from different health centers and care settings participated, to evaluate the usefulness of the tool and compliance with the standards, in addition to analyzing the content validity of each standard.
RESULTS: The formulas for the structured computer algorithms were developed, consecutively, in a «PLAN-DO-CHECK-ACT» improvement cycle for the 9 categories of standards, resulting in a single synthetic indicator of compliance. Twenty-one Quality Units participated in the piloting. The overall average compliance rate for the synthetic indicator was 55.63% with differences between centers (P=.002) and between categories (P<.0001), but not by autonomous communities (P=.86) or by areas (P=.97). Content validity was ensured through the variable of «understanding» of the standards (P<.001), and through their «justification» with documentary evidence (P<.001).
CONCLUSIONS: The computer tool with the synthetic indicator have allowed for the evaluation of standard compliance in Quality Units of healthcare centers.
摘要：
目标：在西班牙，质量单位在为医疗中心提供医疗质量方法论方面发挥着关键和独特的作用。该研究的目的是开发计算机算法，以获得质量单位符合标准的综合指标，并在这些单位中试行其功能。
方法：Excel程序用于建立评估算法，并对各类标准进行定量关联和加权，作为一种计算机评估工具，建立一个持续改进的循环系统，并提供合规的全球综合指标。该工具在一项前瞻性多中心试点研究中进行了测试，来自不同卫生中心和护理机构的质量部门协调员参加了会议，评估工具的有用性和对标准的遵守情况，除了分析每个标准的内容有效性。
结果：开发了结构化计算机算法的公式，连续,在9类标准的“PLAN-DO-CHECK-ACT”改进周期中，导致单一的综合指标的合规性。21个质量单位参加了试点。综合指标的总体平均达标率为55.63%，各中心（P=0.002）和类别（P<0.0001）之间存在差异，但不是自治区(P=0.86)或地区(P=0.97)。通过对标准的“理解”变量（P<0.001）来确保内容的有效性，并通过他们的“理由”和书面证据(P<.001)。
结论：具有综合指标的计算机工具允许评估医疗中心质量单位的标准合规性。
方法：Excel程序用于建立评估算法，并对各类标准进行定量关联和加权，作为一种计算机评估工具，建立一个持续改进的循环系统，并提供合规的全球综合指标。该工具在一项前瞻性多中心试点研究中进行了测试，来自不同卫生中心和护理机构的质量部门协调员参加了会议，评估工具的有用性和对标准的遵守情况，除了分析每个标准的内容有效性。
结果：开发了结构化计算机算法的公式，连续,在9类标准的“PLAN-DO-CHECK-ACT”改进周期中，导致单一的综合指标的合规性。21个质量单位参加了试点。综合指标的总体平均达标率为55.63%，各中心（P=0.002）和类别（P<0.0001）之间存在差异，但不是自治区(P=0.86)或地区(P=0.97)。通过对标准的“理解”变量（P<0.001）来确保内容的有效性，并通过他们的“理由”和书面证据(P<.001)。
结论：具有综合指标的计算机工具允许评估医疗中心质量单位的标准合规性。
