PDF(Pubmed)
Abstract：
Same Day Emergency Care (SDEC) services are at the heart of recovery plans for Emergency Care in the National Health Service. There are no validated metrics for the quality of care in SDEC. The Society for Acute Medicine\'s Quality Improvement Committee invited to a three-stage modified Delphi process to gather metrics used by clinicians. Proposed metrics were ranked and further explored by 33 participating experts from a broad range of backgrounds including clinicians, data scientists and operational managers. Experts ranked five system-based metrics highest. These focus on optimisation of the proportion of patients receiving same day care in and out of SDEC units. Patient and staff experience metrics were ranked low, possibly due to present lack of viable examples. The paper adds a glossary with the rationale for ranking of metrics and their use for the improvement of quality and safety of clinical care.
摘要：
当天紧急护理（SDEC）服务是国家卫生局紧急护理恢复计划的核心。SDEC中没有经过验证的护理质量指标。急性医学协会的质量改进委员会邀请了一个三阶段改进的德尔菲程序，以收集临床医生使用的指标。来自广泛背景的33名参与专家对拟议的指标进行了排名和进一步探讨，包括临床医生，数据科学家和运营经理。专家将五个基于系统的指标排名最高。这些重点是优化在SDEC单元内外接受相同日间护理的患者比例。患者和工作人员经验指标排名较低，可能是由于目前缺乏可行的例子。本文添加了词汇表，其中包含指标排名的基本原理及其在改善临床护理质量和安全性方面的应用。
