Development and validation of internationally comparable clinical indicators with a large-scale medical database

2014 Fiscal Year Final Research Report

• Project/Area Number: 24590604
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Medical sociology
• Research Institution: Tokyo Medical and Dental University
• Principal Investigator: FUSHIMI Kiyohide 東京医科歯科大学, 医歯(薬)学総合研究科, 教授 (50270913)
• Project Period (FY): 2012-04-01 – 2015-03-31
• Keywords: 医療の質 / 医療データ / 診療報酬 / 臨床指標 / アウトカム

Outline of Final Research Achievements

The development of clinical indicators for evaluating the quality of care using patient discharge data of 5 million per year from acute care hospitals were performed. We have developed a index for evaluating the proper use of antimicrobial agents after surgery to reduce the induction of resistant bacteria and the incidence of postoperative infections. We showed that regional differences in the provision of reconstruction after breast cancer surgery is large, indicating that such visualization can lead to the provision of high quality medical to the public. Furthermore, it was shown that mortality of acute stroke patients treated in stroke care units was lower than general ward, implicating the effectiveness of such specialized treatment facilities. Analysis of the standardized hospital mortality ratio to evaluate the hospital overall outcome showed that the reduction in mortality and the improvement of medical quality, and the reduction of variation between medical institutions.

Free Research Field

医療政策学