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在瑞典设计一个以患者为中心的全国性血症临床途径
Kristoffer Strålin1,2,3, Adam Linder4,5, Magnus Brink3,6
1Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden.
Infectious diseases (London, England)
|July 21, 2023
概括
瑞典开发了一个以患者为中心的全国性血症临床途径,以改善早期检测和护理. 该倡议旨在在全国范围内实现更高效,更公平的败血症管理.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 临床途径的发展发展.
- 公共卫生倡议 公共卫生倡议
背景情况:
- 世界卫生组织通过了一项关于败血症的决议,敦促各国采取行动.
- 瑞典优先考虑了败血症护理,在2019年为以患者为中心的临床途径分配资金.
- 成立了一个全国性的多学科小组,包括一名患者代表,以创建败血症临床途径.
研究的目的:
- 开发一个以患者为中心的临床途径,在瑞典治疗败血症.
- 为了应对毒症管理中确定的挑战和需求.
- 改善早期检测,诊断,患者信息和败血症的后续护理.
主要方法:
- 在瑞典进行了一项全国性的紧急服务部门 (ED) 调查.
- 在败血症护理中的挑战和需求被绘制出来.
- 设计了一种以患者为中心的败血症临床途径,重点关注四个关键领域.
主要成果:
- 该途径侧重于:ED中的败血症警报,准确的诊断编码,在出院时结构化的患者信息和结构化的电话跟踪.
- 健康经济分析表明,这种途径不太可能增加成本.
- 使用电子健康记录进行持续绩效监测的系统正在开发中.
结论:
- 瑞典已经制定并正在实施一种以患者为中心的全国性败血症临床途径.
- 预计该途径和监测系统将提高败血症护理效率和公平性.
- 这一举措将提高监测和进一步发展全国性败血症护理的能力.
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