神经重症医疗质量控制2018—2023：从资源调查到质量控制指标 Neurocritical Care Quality Control 2018—2023: From Resource Investigation to Quality Control Indicators

Abstract

国家神经系统疾病医疗质量控制中心神经重症疾病质控工作组于2018年成立，成立后开展了全国百家哨点医院抽查、神经重症资源普查等调研工作，查找我国神经重症医疗存在的问题，如医疗资源配置不均、专业人才缺乏等。基于调查结果，工作组通过德尔菲法制定了神经重症医疗质量控制指标体系，内容涵盖过程指标、重返指标和重点病种相关指标等。此外，神经重症疾病质控工作组还制定了神经重症医师核心知识和能力共识，发布了神经重症患者镇痛镇静治疗共识，并开展了“神盾行动”等一系列宣教活动，以推动神经重症医疗质量的持续改进。未来，工作组将继续开展质控宣讲、培训和考核等活动，并定期监测质量控制指标的执行情况以推动医疗质量持续改进。本文总结了神经重症工作组在推动我国神经重症医疗质量改进方面的工作过程与成效。 Abstract: The neurocritical care working group of the National Center for Healthcare Quality Management in Neurological Diseases was established in 2018. The working group conducted national surveys of sentinel hospitals and investigations of neurocritical care resources, discovering issues in China's neurocritical care such as uneven distribution of medical resources and lack of specialized personnel. Based on the survey results, the working group developed a system of quality control indicators for neurocritical care using the Delphi method, covering process indicators, readmission indicators, and key disease-related indicators. In addition, the neurocritical care working group also formulated the core knowledge and competencies consensus in neurocritical care and the consensus on sedation and analgesia for neurocritical care patients, and carried out a series of training programs such as the Neuro-Shield Action to promote continuous improvement in the quality of neurocritical care. In the future, the working group will continue to carry out activities such as quality control programs, training and assessment, and regularly monitor the implementation of quality control indicators to promote continuous improvement of medical quality. This paper summarizes the work of the neurocritical care working group in promoting improvements in the quality of neurocritical care in China.

Keywords

• 神经重症
• 医疗质量
• 质量控制
• 质控指标
• neurocritical care
• medical quality
• quality control
• quality control indicator