在没有冠状动脉干预的情况下,在没有冠状动脉干预的网络中开发ST段升高心肌梗塞护理质量指标的合作方法:立场论文
Miguel Alejandro Rodríguez-Ramos1, Maikel Santos-Medina2, Alfredo Dueñas-Herrera3
1Cardiology Department, General Hospital "Camilo Cienfuegos", Sancti-Spiritus, Cuba.
The International journal of risk & safety in medicine
|August 21, 2023
概括
这项研究开发了在低资源国家的ST段高位心肌梗塞 (STEMI) 护理的关键绩效指标. 这些措施旨在提高STEMI患者的护理质量,因为先进的治疗方法有限.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在低收入和中等收入国家,对于ST段升高心肌梗塞 (STEMI) 患者存在有限的绩效测量 (PM) 数据.
- 在这些环境中,冠状动脉干预往往不是标准治疗,因此需要量身定制的质量指标.
研究的目的:
- 为在资源有限的环境中为STEMI患者护理开发一套全面的绩效指标和质量标记.
- 建立标准化指标,用于评估和改进在干预能力有限的国家STEMI管理.
主要方法:
- 对潜在的PM进行现有指导方针和文献 (PubMed,2010-2019年) 的系统审查.
- 修改的Delphi技术涉及一个15名成员的多学科专家小组.
- 基于共识的指标选择,在三轮评级后,指标的中位数为4.5或以上.
主要成果:
- 确定了84个潜在的指标,导致提出了10个绩效指标和2个质量指标.
- 主要的建议措施包括:医院前心电图,再注射疗法,缺血和系统延迟时间,住院死亡率,完整的住院治疗,30天再入院和30天死亡率.
- 还确定了针对心力衰竭患者的具体指标,并将其纳入康复计划.
结论:
- 这项研究建立了ST段升高心肌梗塞的官方绩效指标.
- 这些措施得到了古巴心脏病学会和古巴国家心脏病学集团的认可.
- 开发的指标为在特定医疗保健背景下对STEMI护理的质量评估和改进提供了一个框架.
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