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中华重症医学电子杂志 doi: 10.3877/cma.j.issn.2096-1537.2026.01.13-002

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质量注册、标杆分析与同质化:重症医学质量改进的核心路径
邱昱1, 席修明2,()   
  1. 1100050 北京,首都医科大学附属北京友谊医院ICU
    2100038 北京,首都医科大学附属复兴医院ICU
  • 通信作者: 席修明

Quality Registries, Benchmarking and Homogenization: Core Pathways to Quality Improvement in Intensive Care Medicine

Yu Qiu1, Xiuming Xi2,()   

  1. 1Intensive Care Unit, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
    2Intensive Care Unit, Fuxing Hospital, Capital Medical University, Beijing 100038, China
  • Corresponding author: Xiuming Xi
引用本文:

邱昱, 席修明. 质量注册、标杆分析与同质化:重症医学质量改进的核心路径[J/OL]. 中华重症医学电子杂志, doi: 10.3877/cma.j.issn.2096-1537.2026.01.13-002.

Yu Qiu, Xiuming Xi. Quality Registries, Benchmarking and Homogenization: Core Pathways to Quality Improvement in Intensive Care Medicine[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), doi: 10.3877/cma.j.issn.2096-1537.2026.01.13-002.

重症医学的质量改进依赖于质量注册、标杆分析与同质化构成的协同框架,其中质量注册通过系统化数据收集建立真实世界数据库,为质量监测提供基础;标杆分析通过跨机构绩效对比识别差距并优化临床实践;同质化则通过统一诊疗标准确保改进措施的广泛适用性,三者共同形成"数据采集-差距识别-标准落地"的闭环管理体系。这一协同路径既保持了标准化的规模效应,又支持个体化精准干预,通过将真实世界研究转化为临床实践创新,有效缩小不同医疗机构间的质量差异,最终实现以患者临床结局为导向的重症医学高质量发展,持续推动优化医疗行为和改善患者预后。

Quality improvement in intensive care medicine relies on a synergistic framework composed of quality registries, benchmarking, and homogenization. Quality registries establish real-world databases through systematic data collection, providing the foundation for continuous quality surveillance. Benchmarking compares performance across institutions to identify gaps and optimize clinical practice. Homogenization standardizes diagnostic and therapeutic protocols to ensure broad applicability of improvement measures. Together, these elements form a closed-loop management cycle of "data collection – gap identification – standard implementation." This pathway preserves the economies of scale inherent in standardization while supporting individualized, precise interventions. By translating real-world research into clinical innovation, it narrows quality disparities among healthcare facilities and ultimately advances high-quality, outcome-oriented intensive care medicine, continually optimizing clinical processes and improving patient prognosis.

图1 质量改进闭环体系——"铁三角"协同框架
图2 临床质量控制指标类型
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