■实验室绩效作为一个相对概念,需要重复的基准来不断改进实验室程序和医疗流程。这样的基准确定了参考水平,作为诊断周期中医疗机构改进工作的基础,以病人为中心。但是,虽然这个概念似乎在实验室医学中得到了普遍认可,缺乏实际执行阻碍了全球一级的进展。这项研究的目的是检查特定组合指标和基于调查的数据收集方法的效用,并为医疗机构的决策者建立实验室绩效的全球基准数据集。
■该调查包括与一般实验室操作有关的44个项目以及先前研究中确定的三个子量表。训练有素的专业人员接触了全球实验室样本。结果采用标准描述性统计和探索性因素分析。使用验证性因子分析对特定项目进行降维,得出“运营绩效”三个分量表的单独实验室分数,综合临床护理绩效,\"和\"财务可持续性\"为高级概念的实验室性能。
■总共,来自全球55个国家的920个实验室参与了调查,其中401个是政府医院实验室,296个私立医院实验室,和223个商业实验室。相关结果包括在诊断周期中需要数字化和自动化。正式的质量管理体系(ISO9001、ISO15189等.)需要更广泛地进行调整,以提高患者的安全性。对与医疗保健绩效相关的关键绩效指标(KPI)的监测普遍较低(总体上占实验室的10-30%),作为一个特别显著的结果,只有19%的实验室监测与加速诊断和治疗相关的KPI.总之,该基准阐明了当前的实践,并有可能指导患者和员工的质量和安全方面的改进工作和标准化,以及全球医疗保健系统的可持续性。
UNASSIGNED: Laboratory performance as a relative concept needs repetitive benchmarking for continuous improvement of laboratory procedures and medical processes. Benchmarking as such establishes reference levels as a basis for improvements efforts for healthcare institutions along the diagnosis cycle, with the patient at its center. But while this concept seems to be generally acknowledged in laboratory medicine, a lack of practical implementation hinders progress at a global level. The aim of this study was to examine the utility of a specific combination of indicators and survey-based data collection approach, and to establish a global benchmarking dataset of laboratory performance for decision makers in healthcare institutions.
UNASSIGNED: The survey consisted of 44 items relating to laboratory operations in general and three subscales identified in previous studies. A global sample of laboratories was approached by trained professionals. Results were analyzed with standard descriptive statistics and exploratory factor analysis. Dimensional reduction of specific items was performed using confirmatory factor analysis, resulting in individual laboratory scores for the three subscales of \"Operational performance,\" \"Integrated clinical care performance,\" and \"Financial sustainability\" for the high-level concept of laboratory performance.
UNASSIGNED: In total, 920 laboratories from 55 countries across the globe participated in the survey, of which 401 were government hospital laboratories, 296 private hospital laboratories, and 223 commercial laboratories. Relevant results include the need for digitalization and automation along the diagnosis cycle. Formal quality management systems (ISO 9001, ISO 15189 etc.) need to be adapted more broadly to increase patient safety. Monitoring of key performance indicators (KPIs) relating to healthcare performance was generally low (in the range of 10-30% of laboratories overall), and as a particularly salient result, only 19% of laboratories monitored KPIs relating to speeding up diagnosis and treatment. Altogether, this benchmark elucidates current practice and has the potential to guide improvement efforts and standardization in quality & safety for patients and employees alike as well as sustainability of healthcare systems around the globe.