检查实施手术部位感染包的障碍
Kimberly C Dukes1,2,3, Heather Schacht Reisinger1,2,4, Marin Schweizer5
1Center for Access & Delivery Research & Evaluations (CADRE), Iowa City Veterans' Affairs (VA) Health Care System (ICVAHCS), Iowa City, Iowa.
实施手术部位感染 (SSI) 预防包是复杂的. 成功的策略需要适应特定的医院环境,并持续开展专业间合作,以克服各种障碍.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 预防感染 预防感染
- 外科手术的安全性
背景情况:
- 手术部位感染 (SSIs) 对患者的治疗结果构成重大风险.
- 基于证据的捆绑可以减少SSI,但实施挑战是常见的.
- 维持这些做法需要克服多方面的障碍.
研究的目的:
- 探索SSI预防捆绑在美国各医院设置中的实施过程.
- 确定SSI包的成功采用和可持续性的促进者和障碍.
主要方法:
- 使用深入的,半结构化的访谈进行的定性研究.
- 对来自美国6家医院30名医院人员的采访成绩单进行主题分析.
- 包括来自学术高等保健,学术附属社区和非附属社区医院的参与者.
主要成果:
- 捆绑复杂性和跨服务障碍的变化是关键挑战.
- 没有一个单一的实施策略被证明是普遍有效的;需要量身定制的方法.
- 持续的专业间合作成为成功实施的关键推动者.
结论:
- 实施SSI预防包是复杂的,需要特定的背景策略.
- 适应实施方法对于不同的环境和人群是必不可少的.
- 改善捆绑采用,忠实性,可接受性和可持续性取决于解决设置特定障碍.
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