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翻訳と辞書　辞書検索 [ 開発暫定版 ] スポンサード リンク Trauma quality improvement program ： ウィキペディア英語版 Trauma quality improvement program The Trauma Quality Improvement Program (TQIP) was initiated in 2008 by the American College of Surgeons Committee on Trauma. Its aim is to provide risk-adjusted data for the purpose of reducing variability in adult trauma outcomes and offering best practice guidelines to improve trauma care. TQIP makes use of national data to allows hospitals to objectively evaluate their trauma centers’ performance relative to other hospitals. TQIP’s administrative costs are less than those of other programs, making it an accessible tool for assessing performance and enhancing quality of trauma care. ==Background== Morbidity and mortality rates are variable across United States trauma centers. Institutional variations can be attributed to differences in both patient population and quality of care at each institution. The Institute of Medicine (IOM) report ''To Err is Human: Building A Safer Health System'' emphasized the importance of recognizing variability and inefficiencies in the United States healthcare system. To address these discrepancies, John Fildes, MD, FACS created an ad hoc work group to create and implement an outcomes-based, validated, risk-adjusted trauma quality improvement system. The goal was to utilize existing trauma infrastructures to measure and continually improve the quality of trauma care. This was done by accessing each hospital’s registry database using the National Trauma Data Standard (NTDS) from the National Trauma Data Bank (NTDB), resulting in the creation of the Trauma Quality Improvement Program (TQIP) by the American College of Surgeons (ACS).〔 TQIP was preceded by surgical indicators that included the Optimal Resources for the Care of the Injured reference document, published by the ACS Committee on Trauma in 1979. The document created a framework for the trauma center verification review process with a systems approach to trauma care. The Major Trauma Outcome Study (MTOS) of 19821989 subsequently established the national standards for trauma care. The MTOS database also facilitated the creation of a methodology to estimate an individual trauma patient’s survival probability, also known as the Trauma Injury Severity Score (TRISS).〔 Other studies, such as the 2006 National Study of the Costs and Outcomes of Trauma (NSCOT), aimed to identify differences in expenditures and outcomes at various hospitals. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Trauma quality improvement program」の詳細全文を読む スポンサード リンク 翻訳と辞書 : 翻訳のためのインターネットリソース Copyright(C) kotoba.ne.jp 1997-2016. All Rights Reserved.