Developing meaningful performance indicators for a diabetes high-risk foot service: is it hot or not?

Autor: Nube, Vanessa, Veldhoen, Danielle, Frank, Georgina, Bolton, Thyra, Twigg, Stephen B.
Zdroj: Wound Practice & Research; Nov2014, Vol. 22 Issue 4, p221-225, 5p
Abstrakt: Diabetes-related foot ulceration is the leading cause of non-traumatic amputation and leading cause of hospitalisation for people with diabetes in Australia. It is associated with depression and high mortality. High-risk foot services (HRFS) in Australia, like the Diabetes Centre at Royal Prince Alfred Hospital, are providing specialised multidisciplinary management for patients and some data on the healing outcomes and improvement in processes has been published. Performance indicators are a key mechanism in the quality improvement process. Excluding national amputation rates, there is no agreed set of performance indicators for monitoring outcomes or processes associated with the management of diabetic foot disease in Australia. This article discusses the processes for selecting and defining indicators that can lead to improving care and outcomes for people with diabetes-related foot ulceration and includes and describes the experiences of measuring outcomes and developing performance indicators for HRFS in the Sydney Local Health District. In time, we anticipate the formulation of national and international consensus performance indicators for diabetes HRFS that can be applied locally to particular patients, ulcer types and models of health care delivery. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index