一项有缺陷的联邦医院安全标准错误地将中风治疗死亡归咎于护理错误、资金风险和救生护理的威慑。 A flawed federal hospital safety metric wrongly blames stroke treatment deaths on care errors, risking funding and deterrence of life-saving care.

加州大学洛杉矶分校的一项新研究发现,联邦病人安全指标04用于评估医院安全情况,不公平地惩罚进行紧急中风治疗的医院。 A new UCLA study finds the federal Patient Safety Indicator 04, used to assess hospital safety, unfairly penalizes hospitals performing emergency stroke treatments. 为外科病人设计的衡量标准错误地标出严重中风病例的死亡——病人已经病得很重——是可预防的错误。 The metric, designed for surgical patients, incorrectly flags deaths in severe stroke cases—where patients are already critically ill—as preventable errors. 研究人员分析了超过73,000例血栓切除术, 发现中风患者的PSI 04率为20.5%,远高于其他手术的0.10%平均值, 但大多数死亡是由于中风本身而不是医疗错误造成的. Analyzing over 73,000 thrombectomies, researchers found PSI 04 rates for stroke patients were 20.5%, far above the 0.10% average for other procedures, but most deaths resulted from the stroke itself, not medical mistakes. 这种有缺陷的衡量标准可能阻止医院治疗高风险病人,并危及资金和公共排名,尽管护理质量很高。 The flawed metric may deter hospitals from treating high-risk patients and jeopardize funding and public rankings despite high-quality care.