紧急护士协议启动护理-悉尼选入院风险工具 (EPIC-START) 试验:一个阶段嵌实行试验的协议
Kate Curtis1,2, Michael M Dinh3,4,5, Amith Shetty6,7
1Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, NSW, Australia. kate.curtis@sydney.edu.au.
Implementation science communications
|June 20, 2023
概括
紧急部门过度拥挤是一个全球性的挑战. 紧急护士协议启动护理-悉尼选入院风险工具 (EPIC-START) 在30个ED中进行了评估,以改善患者的护理和安全.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
- 实施科学 实施科学
背景情况:
- 在全球范围内,急诊室 (ED) 过度拥挤对患者安全和护理质量构成重大威胁.
- 及时和安全的紧急护理服务在拥挤的EDS中是一个持续的挑战.
- 紧急护士协议启动护理-悉尼选入院风险工具 (EPIC-START) 在澳大利亚新南威尔士州 (NSW) 开发,以解决这些问题.
研究的目的:
- 评估EPIC-START护理模式对患者,实施和医疗服务成果的影响.
- 评估EPIC-START在支持ED流动,及时护理和患者安全方面的有效性.
- 确定EPIC-START在各种医疗保健机构的采用和可持续性.
主要方法:
- 一个有效性实施混合设计,利用一个阶梯集群随机对照试验.
- 在农村,区域和大都市新南威尔士州当地卫生区实施30个ED.
- 从医疗记录收集定量和定性数据,例行收集数据,以及对患者和工作人员的前后调查.
主要成果:
- 数据分析正在进行中.
- 结果将为EPIC-START的更广泛应用提供信息.
- 这些发现将指导未来改善ED患者流动和安全的策略.
结论:
- 这项研究旨在提供证据,证明EPIC-START在改善ED操作方面的有效性.
- 调查结果将有助于了解医疗保健干预措施的成功实施策略.
- 该研究预计将为管理ED过度拥挤的政策和实践提供信息.
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