JCI指标库JCILibraryofMeasure中文.doc

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1、International Hospital Inpatient Quality Measures国际医院住院病人质量指标 I-Acute Myocardial Infarction (I-AMI) 急性心肌梗塞Measure Code指标编码Measure Short Name指标简称Measure Description指标说明I-AMI-1 Aspirin at Arrival 到院给予AspirinAspirin received within 24 hours of arrival to the hospital for patients having an acute myocar

2、dial infarction (AMI).急性心肌梗塞病人到院24小时内，给予AspirinI-AMI-2 Aspirin Prescribed at Discharge 出院处方开立AspirinAspirin prescribed at discharge for patients who had an acute myocardial infarction. 急性心肌梗塞病人出院处方开立AspirinI-AMI-3 ACEI or ARB for LVSD合并左心室收缩功能不全者(LVSD)，给予ACEI / ARB类药物 注: ACEI(血管收缩素反转脢抑制剂)、ARB(血管收缩素受

3、体阻断剂)ACEI (angiotensin converting enzyme inhibitor) or ARB (angiotensin receptor blocker) for patients who have LVSD (Left Ventricular Systolic Dysfunction) after having an acute myocardial infarction. 急性心肌梗塞合并左心室收缩功能不全者，使用ACEI/ARB的状况I-AMI-4 Adult Smoking Cessation Advice/Counseling 成人戒菸咨询/辅导Adult s

4、moking (cigarette) cessation advice/counseling given to patients who had an acute myocardial infarction.给急性心肌梗塞病人提供成人吸烟（香烟）戒菸咨询/辅导I-AMI-5 Beta Blocker Prescribed at Discharge出院处方开立受体阻断剂Beta-blocker prescribed at discharge for patients who had an acute myocardial infarction. 急性心肌梗塞病人出院处方开立受体阻断剂I-AMI-

5、9 Inpatient Mortality 住院病人死亡率Acute myocardial infarction (AMI) patients who expire during the hospital stay 急性心肌梗塞病人住院期间死亡率 I-Heart Failure (I-HF) 心脏衰竭Measure Code Measure Short Name Measure Description I-HF-2 Evaluation of LVS Function评估左心室收缩功能Heart failure patients with documentation in the hospit

6、al record that left ventricular systolic (LVS) function was evaluated before arrival; during hospitalization, or is planned for after discharge 心脏衰竭的病人在到院前/住院期间/出院后，留有评估左心室收缩功能纪录I-HF-3 ACEI or ARB for LVSD左心室收缩功能不佳病人，使用ACEI/ARB的药物 ACEI (angiotensin converting enzyme inhibitor) or ARB (angiotensin re

7、ceptor blocker) for heart failure patients who have LVSD (Left Ventricular Systolic Dysfunction)对左心室收缩功能不佳心脏衰竭的病人使用ACEI/ARB的药物I-HF-4 Adult Smoking Cessation Advice/Counseling 成人戒菸咨询/辅导Adult smoking(cigarettes) cessation advice/counseling given to heart failure patients 提供成人吸烟(香烟)戒菸咨询/辅导给心脏衰竭的病人I-Pne

8、umonia (I-PN) 肺炎Measure Code Measure Short Name Measure Description I-PN-2 Pneumococcal Vaccination肺炎链球菌疫苗Pneumonia patients, aged 65 and older, who were screened for pneumococcal vaccine status and were administered the vaccine prior to discharge, if indicated 年龄大于或等于65岁罹患肺炎的病人，有被筛检出肺炎链球菌疫苗施打情形，若应施

9、打在出院前有给予接种肺炎链球菌疫苗。I-PN-4 Adult Smoking Cessation Advice/Counseling 成人戒菸咨询/辅导Adult smoking cessation advice/counseling given to patients who smoke cigarettes and who are hospitalized for pneumonia提供成人吸烟(香烟)戒菸咨询/辅导给罹患肺炎的住院病人I-PN-7 Influenza Vaccination 流感疫苗Pneumonia patients, aged 50 and older, who du

10、ring the flu season, were screened for influenza vaccine status and were vaccinated prior to discharge, if indicated 年龄大于或等于50岁罹患肺炎的病人，有被筛检出流感疫苗施打情形，若应施打在出院前有给予接种流感疫苗。I-Surgical Care Improvement Project (I-SCIP) 手术照护改善项目Measure Code Measure Short Name Measure Description I-SCIP-Inf-1d Prophylactic A

11、ntibiotic Received Within One Hour Prior to Surgical Incision Hip Arthroplasty 病人进行髋关节成形术，划刀前1小时内接受预防性抗生素Surgical patients with prophylactic antibiotics initiated within one hour prior to surgical incision. 手术病人术前1小时接受预防性抗生素 Patients who received Vancomycin or a Fluroquinolone for prophylactic antib

12、iotics should have the antibiotics initiated within two hours prior to surgical incision. 划刀前两小时内病人使用Vancomycin或Fluroquinolone预防性抗生素 Due to the longer infusion time required for Vancomycin and Fluroquinolone, it is acceptable to start these antibiotics within two hours prior to incision time. 由于Vanc

13、omycin and Fluroquinolone需要较长时间输注，所以此两类抗生素可接受术前两小时投予I-SCIP-Inf-1e Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision-Knee Arthroplasty 病人进行膝关节成形术，划刀前1小时内接受预防性抗生素Surgical patients with prophylactic antibiotics initiated within one hour prior to surgical incision. 手术病人术前1小时接受预

14、防性抗生素 Patients who received Vancomycin or a Flurooquinolone for prophylactic antibiotics should have the antibiotics initiated within two hours prior to surgical incision. 划刀前两小时内病人使用Vancomycin或Fluroquinolone预防性抗生素 Due to the longer infusion time required for Vancomycin and Fluroquinolone, it is acc

15、eptable to start these antibiotics within two hours prior to incision time. 由于Vancomycin and Fluroquinolone需要较长时间输注，所以此两类抗生素可接受术前两小时投予I-SCIP-Inf-2d Prophylactic Antibiotic Selection for Surgical Patients-Hip Arthroplasty 髋关节成形术病人预防性抗生素之选用Surgical patients who received prophylactic antibiotics consis

16、tent with current Hip Arthroplasty guidelines, 进行髋关节成形术病人，使用预防性抗生素与髋关节成形术指引一致 Appendix C, Table 3.2, Prophylactic Antibiotic Regimen Selection for Surgery 针对手术方式选择预防性抗生素(表3.2，附录C)I-SCIP-Inf-2e Prophylactic Antibiotic Selection for Surgical Patients-Knee Arthroplasty膝关节成形术病人预防性抗生素之选用Surgical patients

17、 who received prophylactic antibiotics consistent with current Knee Arthroplasty guidelines 进行膝关节成形术病人，使用预防性抗生素与髋关节成形术指引一致 Appendix C, Table 3.2, Prophylactic Antibiotic Regimen Selection for Surgery 针对手术方式选择预防性抗生素(表3.2，附录C)I-SCIP-Inf-3d Prophylactic Antibiotics Discontinued Within 24 Hours After Su

18、rgery End Time- Hip Arthroplasty 髋关节成形术使用预防性抗生素，应于手术结束后24小时内停用Surgical patients, who had a Hip Arthroplasty, whose prophylactic antibiotics were discontinued within 24 hours after Anesthesia End Time 接受髋关节成形术的病人，预防性抗生素应于手术麻醉结束后24小时内停用I-SCIP-Inf-3e Prophylactic Antibiotics Discontinued Within 24 Hour

19、s After Surgery End Time Knee Arthroplasty 膝关节成形术使用预防性抗生素，应于手术结束后24小时内停用Surgical patients, who had a Knee Arthroplasty, whose prophylactic antibiotics were discontinued within 24 hours after Anesthesia End Time 接受膝关节成形术的病人，预防性抗生素应于手术麻醉结束后24小时内停用I-SCIP-VTE-1 Surgery Patients with Recommended Venous T

20、hromboembolism Prophylaxis Ordered 建议手术病人给予预防静脉血栓治疗Surgery patients with recommended Venous Thromboembolism (VTE) prophylaxis ordered anytime from hospital arrival to 24 hours after Anesthesia End Time, 建议手术病人给予预防静脉血栓治疗(VTE)，从麻醉时间结束后到达医院24小时内I-SCIP-VTE-2 Surgery Patients Who Received Appropriate Ven

21、ous Thromboembolism Prophylaxis Within 24 hours Prior to Surgery to 24 Hours After Surgery 于术前及术后24小时内，手术病人接受适当的预防静脉血栓治疗Surgery patients who received appropriate Venous Thromboembolism (VTE) prophylaxis within 24 hours prior to Anesthesia Start Time to 24 hours after Anesthesia End Time, 手术病人在麻醉开始24

22、小时内及麻醉结束后，接受适当的预防静脉血栓栓塞(VTE)治疗I-Hospital Based Inpatient Psychiatric Care Services (I-HBIPS) 精神科病人住院照护Measure Code Measure Short Name Measure Description I-HBIPS-2 Hours of physical restraint use 物理性约束使用时间The total number of hours that all patients admitted to a hospital-based inpatient psychiatric

23、setting were maintained in physical restraint 所有精神科住院病人，持续接受物理性约束总时数I-HBIPS-3 Hours of seclusion use 接受隔离时间The total number of hours that all patients admitted to a hospital-based inpatient psychiatric setting were held in seclusion. 所有精神科住院病人，持续接受隔离总时数I-Childrens Asthma Care (I-CAC) 小儿气喘Measure Cod

24、e Measure Short Name Measure Description I-CAC-1 Relievers for Inpatient Asthma 气喘病人住院时使用气喘治疗药物Use of relievers in pediatric patients admitted for inpatient treatment of asthma 小儿气喘病人住院期间使用气喘治疗药物I-CAC-2 Systemic Corticosteroids for Inpatient Asthma 住院气喘病人使用皮质类固醇治疗Use of systemic corticosteroids in p

25、ediatric patients admitted for inpatient treatment of asthma 小儿气喘病人在住院期间使用皮质类固醇治疗气喘I-Venous Thromboembolism (I-VTE) 静脉栓塞Measure Code Measure Short Name Measure Description I-VTE-1 Venous Thromboembolism Prophylaxis 预防静脉栓塞This measure assesses the number of patients who received VTE prophylaxis or ha

26、ve documentation why no VTE prophylaxis was given the day of or the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission. 这是一项评估有多少病人在入院时/手术结束后接受预防静脉栓塞治疗措施或有纪录未接受预防静脉栓塞治疗措施。I-VTE-2 Intensive Care Unit Venous Thromboembolism Prophyla

27、xis 重症照护单位病人静脉栓塞的预防This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after the initial admission (or transfer) to the Intensive Care Unit (ICU) or surgery end date for surgeries that start the day of

28、 or the day after ICU admission (or transfer). 这是一项评估有多少病人在入住/转入重症照护单位或手术结束后入住/转入重症照护单位，接受预防静脉栓塞治疗或有纪录未接受预防静脉栓塞治疗措施。I-Stroke (I-STK) 中风Measure Code Measure Short Name Measure Description I-STK-2 Discharged on Antithrombotic Therapy出院处方开立抗血栓药物Ischemic stroke patients prescribed antithrombotic therapy

29、 at hospital discharge.出血性中风病人，出院处方开立抗血栓药物I-STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter抗凝血剂治疗心房颤动/扑动 Ischemic stroke patients with atrial fibrillation/flutter who are prescribed anticoagulation therapy at hospital discharge. 出血性中风合并心房颤动/扑动病人，出院处方开立抗凝血剂I-STK-8 Stroke Education 中风教育I

30、schemic or hemorrhagic stroke patients or their caregivers who were given educational material addressing ALL of the following: Activation of emergency medical system (if available in region), need for follow-up after discharge, medications prescribed at discharge, risk factors for stroke, and warni

31、ng signs and symptoms of stroke. 缺血性/出血性中风病人以及主要照顾者，医院应提供相关教育资料如：紧急医疗系统(区域内可用的)，出院后追踪，出院药物，中风导致的风险，警讯征兆以及中风症状。I-STK-10 Assessed for Rehabilitation复健评估 Ischemic or hemorrhagic stroke patients who were assessed for or received rehabilitation services. 缺血性/出血性中风病人评估或是否需要复健治疗的评估I-Nursing- Sensitive Care

32、 (I-NSC) 护理-照护敏感度Measure Code Measure Short Name Measure Description I-NSC-2 Pressure Ulcer Prevalence (Hospital-Acquired) 压疮发生率(住院期间)Patients that have hospital-acquired (nosocomial) category/stage II or greater pressure ulcer(s) on the day of the prevalence study. 统计每日病人住院期间发生压疮的类别/程度，二级或二级以上的压疮I-

33、NSC-4 Patient Falls 病人跌倒All documented falls with or without injury, experienced by patients in a calendar month. 每月记录病人发生无伤害或有伤害跌倒率I-NSC-5 Falls with Injury 跌倒伤害All documented falls by a patient with an injury level of “minor” (2) or greater. 记录所有病人跌倒伤害程度，二级或二级以上的跌倒I-Perinatal Care (I-PC) 周产期照护Meas

34、ure Code Measure Short Name Measure Description I-PC-1 Elective Delivery 选择性分娩Patients with elective vaginal deliveries or elective cesarean sections at = 37 and =37且39周时选择阴道分娩或剖腹产I-PC-2 Cesarean Section 剖腹产Nulliparous women with a term, singleton baby in a vertex position delivered by cesarean section初产妇与足月正常产位的婴儿接受剖腹产I-PC-5 Exclusive Breast Feeding 哺喂母乳Exclusive breast milk feeding during the newborns entire hospitalization 住院期间新生儿接受完全的母乳哺喂第 17 页