黄金患者倡议:一个系统审查
Saad Khan1, Bassil Azam2, Abdulrahman Elbayouk3
1Trauma and Orthopaedics, Royal Oldham Hospital, Manchester, GBR.
Cureus
|July 3, 2023
概括
黄金患者倡议 (GPI) 预先评估第一个手术患者,提高了19-30分钟的手术室开始时间,并减少了取消病例. 这种低成本的方法提高了效率和患者安全.
科学领域:
- 医疗保健管理的管理
- 手术手术手术手术手术手术手术手术
- 患者安全 患者安全
背景情况:
- 手术室的低效率在很大程度上导致了医疗保健成本.
- 随着COVID-19大流行,手术等候名单加剧,提高了对高效资源利用的需求.
- 黄金患者倡议 (GPI) 涉及在手术前一天预先评估第一个手术患者.
研究的目的:
- 系统地审查金色患者倡议 (GPI) 对手术室效率的影响和有效性.
- 评估GPI对关键绩效指标的影响,如剧院开始时间和案件取消.
- 评估GPI作为一种潜在的低成本解决方案,以改善外科手术资源管理.
主要方法:
- 在MEDLINE,CINAHL,EMBASE和Cochrane图书馆进行了系统的文献搜索,以寻找有关金色患者倡议 (GPI) 的研究.
- 两位独立作者使用PRISMA指南选文章.
- 对13篇符合条件的文章进行了叙事审查,原因是结果存在显著的异质性.
主要成果:
- 黄金患者倡议 (GPI) 显示了治疗开始时间的统计学上显著改善,从19到30分钟 (p<0.05).
- 在包括的研究中观察到,手术取消病例数量显著下降.
- 该计划在剧院效率和患者安全方面取得了积极成果.
结论:
- 金色患者倡议 (GPI) 是一种低成本,易于实施的战略,可以提高手术室的效率.
- 在医疗保健系统中,GPI有助于提高患者安全性和潜在的成本节约.
- 建议进行进一步的多中心研究,以收集更多关于GPI有效性的确证据.
相关概念视频
01:13Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
01:11Clinical Trials: Overview
3.0K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
3.0K
01:11Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
01:16Clinical Trials
6.9K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.9K
01:27Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
01:29Chronic Pancreatitis II: Collaborative Care
115
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
115