Abstract：
:National clinical quality registries (CQRs) are effective tools for improving the outcomes of patients admitted to the intensive care unit (ICU), and are increasingly important as healthcare needs evolve. A high-quality ICU CQR is built from a foundation of common requirements and challenges. First, performance indicators of the structure, process, or outcomes of patient care should measure what is important. Second, high data quality is essential and can be collected and curated through standardized processes. Third, standardized mortality ratio (SMR) is a cornerstone for benchmarking ICU performance, but application requires a comprehensive understanding of its context and potential pitfalls. Fourth, data collection alone is insufficient. Quality improvement comes from closing the feedback loop by identifying and managing unwarranted practice variation. Fifth, the process of improving healthcare is fundamentally a human enterprise, subject to behavioural change, including those that modify performance. Sixth, ICU CQRs must be dynamic to meet the needs of an evolving healthcare system and stakeholders. Finally, these lessons are far from comprehensive. Sharing perspectives on the development of ICU CQRs can help maximise their value as a powerful platform for informing policy development and improving the outcomes of patients admitted to the ICU.
journal_name
J Crit Carejournal_title
Journal of critical careauthors
Litton E,Guidet B,de Lange Ddoi
10.1016/j.jcrc.2020.08.012subject
Has Abstractpub_date
2020-12-01 00:00:00pages
311-318eissn
0883-9441issn
1557-8615pii
S0883-9441(20)30658-4journal_volume
60pub_type
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更新日期：2015-10-01 00:00:00
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更新日期：2005-06-01 00:00:00
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更新日期：2015-10-01 00:00:00
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