What are the medical quality control indicators of the National Health and Family Planning Commission? The fundamental purpose of quality control work is to promote the standardization, standardization and homogeneity of medical services in our country. The following articles related to the medical quality control indicators of the National Health and Family Planning Commission are welcome. Reading comprehension.
Health and Family Planning Commission Medical Quality Control Indicator 2
1. ICU patient admission rate and ICU patient admission bed daily rate
Definition: ICU patient admission rate refers to The ratio of the total number of patients admitted to the ICU to the total number of patients admitted to the hospital during the same period.
The ICU patient bed-day rate refers to the ratio of the total bed-days of patients admitted to the ICU to the total bed-days of patients admitted to the hospital during the same period.
The same patient is transferred to the ICU multiple times during the same hospitalization, which is recorded as "multiple visits".
Significance: Reflects the proportion and admission status of ICU patients among all hospitalized patients.
2. Acute Physiology and Chronic Health Score (APACHEⅡ score): 15 points. Patient admission rate (within 24 hours of admission to ICU)
Definition: Within 24 hours of admission to ICU, APACHEⅡ score: 15 The ratio of the number of patients to the total number of patients admitted to the ICU during the same period.
Meaning: Reflects the criticality of patients admitted to ICU.
Note: Hospitals with information-based automatic collection capabilities are recommended to directly extract the APACHE II scores and proceed according to <10 points, 10-15 points, 15-20 points, 20-25 points, >25 points Stratified analysis.
3. Completion rate of 3-hour bundle treatment (bundle) for septic shock
Definition: 3-hour bundle treatment (bundle) for septic shock refers to 3 hours after the diagnosis of septic shock Complete within: Measure lactate concentration; perform blood culture before antibacterial drug treatment; administer broad-spectrum antibacterial drugs; give 30ml/kg crystalloid for target resuscitation if hypotension or lactate? 4mmol/L.
The completion rate of septic shock 3-h bundle treatment (bundle) refers to the proportion of the number of patients admitted to the ICU diagnosed with septic shock and who completed the 3-h bundle to the total number of patients admitted to the ICU diagnosed with septic shock during the same period. .
Excludes new cases of septic shock that occur during hospitalization in ICU.
Meaning: Reflects the standardization of treatment and diagnosis and treatment capabilities of septic shock.
IV. Completion rate of 6-hour bundle treatment (bundle) for septic shock
Definition: 6-h bundle treatment (bundle) for septic shock refers to the completion rate of 3-h bundle treatment (bundle) for septic shock. ) on the basis of: hypotension has poor effect on target resuscitation and vasopressors should be administered immediately; septic shock or lactate? 4mmol/L volume still persists after resuscitation, CVP and ScvO2 need to be measured immediately; initial lactate is higher than normal Patients will need to have their lactate levels measured repeatedly.
The completion rate of the 6-h bundle of septic shock treatment (bundle) refers to the proportion of the number of patients admitted to the ICU who have completed the 6-h bundle diagnosed with septic shock to the total number of patients admitted to the ICU diagnosed with septic shock during the same period.
Excludes new cases of septic shock that occur during hospitalization in ICU.
Meaning: Reflects the standardization of treatment and diagnosis and treatment capabilities of septic shock.
5. Rate of pathogen testing in ICU before antibacterial drug treatment
Definition: For ICU inpatients who use antibacterial drugs for treatment purposes, pathogenic test specimens are sent for testing before using antibacterial drugs. The number of cases as a proportion of the total number of cases treated with antimicrobial drugs during the same period.
Pathogenic test specimens include: various microbial cultures, serological tests for infection indicators such as procalcitonin and interleukin-6.
Meaning: Reflects the standardization of antimicrobial drug use in ICU patients.
VI. ICU deep vein thrombosis (DVT) prevention rate
Definition: The number of ICU patients who receive deep vein thrombosis (DVT) prevention as a proportion of the total number of patients admitted to the ICU during the same period.
Preventive measures for deep vein thrombosis include drug prevention (anticoagulation with heparin or low molecular weight heparin), mechanical prevention (limb compression pumps, gradient pressure stockings, etc.), and inferior vena cava filters.
Significance: Reflects the prevention of DVT in ICU patients.
VII. Estimated mortality rate of ICU patients
Definition: The possible mortality rate predicted by the patient's disease severity (APACHE II score).
The formula for patient risk of death (R): In(R/1-R)=-3.517 (APACHE II score? 0.146) 0.603 (limited to patients after emergency surgery) Score of major diseases of patients admitted to ICU (according to international standards).
The expected mortality rate of ICU patients refers to the ratio of the sum of the expected mortality rates of patients admitted to ICU to the total number of patients admitted to ICU during the same period.
Meaning: Reflects the criticality of the disease of patients admitted to ICU and is used to calculate the patient's standardized death index.
8. Standardized Mortality Ratio for ICU patients
Definition: The mortality rate calibrated by the criticality of the patient's disease is the actual mortality rate of ICU patients and the expected mortality rate of ICU patients in the same period case-fatality ratio.
The actual ICU fatality rate is the ratio of the number of patients who died in the ICU (including patients who were voluntarily discharged due to irreversible diseases) to the total number of patients admitted to the ICU during the same period, excluding patients who were brain dead on admission and patients who were admitted to the ICU for organ donation. .
Meaning: Reflects the overall diagnosis and treatment level of ICU.
9. Unplanned tracheal intubation and extubation rate in ICU
Definition: The proportion of unplanned tracheal intubation and extubation cases to the total number of tracheal intubation and extubation cases in ICU during the same period.
Meaning: Reflects the overall management and treatment level of the ICU.
10. Re-intubation rate within 48 hours after ICU tracheal intubation and extubation
Definition: The number of reintubation cases within 48 hours after tracheal intubation and planned extubation accounts for the trachea of ??ICU patients in the same period Proportion of total number of intubation and extubation cases.
Excludes unplanned endotracheal intubation and reintubation after extubation.
Significance: Reflects the ability to grasp the indications for extubation in ICU patients.
11. Unplanned transfer to ICU rate
Definition: Unplanned transfer to ICU refers to transfer without early warning, or without postoperative transfer before starting anesthesia induction. ICU planning, and intraoperative or postoperative decision to transfer to ICU.
The rate of unplanned transfer to ICU refers to the proportion of the number of patients transferred to ICU unplanned to the total number of patients transferred to ICU during the same period.
The reasons for unplanned transfer to ICU should be analyzed stratified (lack of early warning of disease deterioration, anesthesia factors, surgical factors, etc.).
Significance: One of the important outcome indicators that reflects the quality of medical care in medical institutions.
12. Return rate within 48 hours after being transferred out of the ICU
Definition: The number of patients who return to the ICU within 48 hours after being transferred out of the ICU is the proportion of the total number of patients who were transferred out of the ICU during the same period.
Meaning: Reflects the ability to grasp the indications for transferring ICU patients out of the ICU.
13. Incidence of Ventilator-Associated Pneumonia (VAP) in ICU
Definition: The proportion of VAP cases to the total number of days of invasive mechanical ventilation in ICU patients during the same period.
Unit: case/thousand mechanical ventilation days.
Meaning: Reflects ICU infection control, invasive mechanical ventilation and management capabilities.
14. Incidence of intravascular catheter-related bloodstream infection (CRBSI) in ICU
Definition: The proportion of CRBSI cases to the total days of intravascular catheter indwelling in ICU patients during the same period.
Unit: case/thousand catheter days.
Significance: Reflects ICU infection control, intravascular catheter indwelling and management capabilities.
15. Incidence of Catheter-Associated Urinary Tract Infection (CAUTI) in ICU
Definition: The proportion of CAUTI cases to the total days of urinary catheter indwelling in ICU patients during the same period.
Unit: cases/thousand catheter days.
Meaning: Reflects ICU infection control, urinary catheter indwelling and management capabilities.
Note: This critical care medicine professional medical quality control indicator applies to all critical care medical treatment units including PICU, EICU, CCU, etc.
Health and Family Planning Commission Medical Quality Control Indicators 2
On April 13, the National Health and Family Planning Commission website released 6 indicators for anesthesia, critical care medicine, emergency department, clinical examination, pathology, and hospital infection Professional quality control indicators (2015 edition).
This is the first time that medical quality control indicators have been systematically released on a specialist basis, providing a tool for health administrative departments and medical institutions to strengthen medical quality management.
Content description of quality control indicators, including indicator definition, calculation formula and meaning.
These indicator data can reflect the structural quality, link quality and final quality of a certain medical specialty.
Taking the anesthesia profession as an example, this *** provides 17 medical quality control indicators.
This includes the proportion of various anesthesia methods, which is one of the important structural indicators reflecting the quality of anesthesia care in medical institutions.
To facilitate operation, the index also provides five specific classifications of anesthesia methods.
The surgery cancellation rate after the onset of anesthesia is an important process indicator, reflecting the level of anesthesia planning and management.
The cardiac arrest rate within 24 hours after the start of anesthesia is one of the important outcome indicators that reflects the quality of medical care in medical institutions.
?The quality control indicators released this time are highly operable. Regardless of the level of medical institutions, you can use this set of tools to evaluate and manage your own medical quality level. ?Relevant personnel from the Medical Administration and Medical Administration Bureau of the National Health and Family Planning Commission said that the indicators break down the key links in the medical process in a refined manner, reminding medical institutions to pay attention to the process control of medical quality.
Hospitals can collect and analyze relevant indicator data to discover problems in certain areas and links within the hospital and make more targeted improvements.
The goal of medical quality control is to narrow the medical quality gap between regions and different medical institutions.
Establishing a medical quality control indicator system, and collecting and analyzing the data generated after the application of indicators, will also facilitate horizontal comparisons of medical quality among different medical institutions in various places, and discover the *** that exist in the region. Sexual issues and salient issues.
At the same time, using quality control indicators, the country can also conduct horizontal comparisons and classification guidance of medical quality between regions and medical institutions to achieve continuous improvement of medical quality and safety.
It is reported that the construction of my country’s medical quality control index system is still in its infancy.
Next, the National Health and Family Planning Commission will continue to formulate more quality control indicators for clinical specialties, and will also strengthen the application of indicators, information collection and feedback to achieve continuous improvement; through the application of indicators, we can understand the quality of medical care nationwide baseline level, and further develop a medical quality control standard system suitable for my country's national conditions.
In addition, the National Health and Family Planning Commission will also strengthen informatization construction and realize informatization quality control that can capture the operation data of medical institutions in real time as soon as possible.