通过实施基于证据的实践,改变整形外科医生的行为.
Jens-Christian Vedel1, Dennis Winge Hallager1, Jeanette Østergaard Penny1
1Centre for Evidence-Based Orthopaedics, Department of Orthopaedic Surgery, Zealand University Hospital, Denmark.
Danish medical journal
|June 21, 2023
概括
基于证据的骨科中心 (CEBO) 模型成功地弥合了骨科手术中的证据实践差距. 外科医生从专门使用锁定飞板转向优先考虑闭合缩减和穿皮钉在远半径骨折.
科学领域:
- 整形外科手术 整形外科手术
- 基于证据的医学 基于证据的医学
- 医疗保健 实施 科学 科学
背景情况:
- 骨科实践往往落后于新的证据,造成了证据与实践之间的差距.
- 在外科手术中实施基于证据的实践需要结构化的模型.
- 距离半径骨折 (DRF) 作为评估实施模型的相关临床例子.
研究的目的:
- 介绍和评估一个新的实施模式,以证据为基础的实践在骨科.
- 评估Centre for Evidence-Based Orthopaedics (CEBO) 模型在改变外科手术实践中的有效性.
- 解决远半径骨折的外科治疗中的证据与实践差距.
主要方法:
- 应用了CEBO模型,包括四个阶段 (评估,研讨会,指南实施,结果记录).
- 该模型专门用于评估远端半径骨折 (DRF) 的治疗方法.
- 临床问题侧重于比较开放的减少内部固定与锁定的飞板 (VLP) 与封闭的减少皮穿刺 (CRPP).
主要成果:
- 在基线实践中,专用VLP用于DRF治疗.
- 在CEBO模型实施之后,新的指导方针支持CRPP作为首要的外科选择.
- 实施一年后,VLP用于DRF的利用率从100%降至44%.
结论:
- 根据现有的最佳证据,CEBO模型是改变外科医生的实践的可行和有效工具.
- 成功实施导致了外围半径骨折的手术技术的重大转变.
- 这项研究表明了结构化实施模型的潜力,可以弥合骨科的证据与实践差距.
更多相关视频
相关概念视频
Psychosurgery
81
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
81
Current Trends in Nursing II
1.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.3K
Methods of Documentation V: CBE
933
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
933
Standards of Care II
689
Nurses bear specific legal responsibilities under several federal statutes, including:
689
Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
Standards of Care I
731
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
731


