关于制定一套绩效措施的协议,用于监测和评估急诊室中老年人的痴呆症护理质量,使用修改后的e-Delphi过程
Sarah Filiatreault1, Sara Kreindler2, Jeremy Grimshaw3,4
1Community Health Sciences, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada filiatrs@myumanitoba.ca.
BMJ open
|August 22, 2023
概括
在急诊室 (ED) 的老年人有 Delirium 的高风险,导致更糟糕的结果. 本研究旨在就绩效指标 (PMs) 达成共识,以评估和改善这些患者的 Delirium 护理质量.
科学领域:
- 老年医学 老年医学
- 紧急医疗 紧急医疗
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 年长的成年人在急诊室 (ED) 经历了高 Delirium 率,与增加住院和死亡率等不良结果相关.
- 需要标准化绩效指标 (PMs) 来评估和提高ED环境中的妄想症护理质量.
- 从临床实践指南中制定了11个质量声明和24个PM的初步清单.
研究的目的:
- 为了在评估老年急诊室 (ED) 患者痴呆症护理质量的性能指标 (PMs) 的子集上达成专家共识.
- 为质量改进举措确定可操作和必要的PM.
- 建立在ED中标准化妄症护理评估的基础.
主要方法:
- 将使用经过修改的e-Delphi研究协议,遵守报告准则.
- 将通过多个道招募国际临床专家 (至少17名).
- 参与者将在至少三轮中使用9分利克特级别对质量陈述和PM进行评分,并在各轮之间提供反.
主要成果:
- 对于患有妄想症的老年ED患者,将在一套精细的绩效指标 (PMs) 上达成共识.
- 该研究将确定最重要和可操作的质量声明和必要的PM.
- 结果将为开发狂妄症护理质量改善策略提供信息.
结论:
- 达成共识的绩效指标 (PMs) 将为评估老年急诊室 (ED) 患者的痴呆症护理质量提供标准化工具.
- 预计这项工作将推动护理提供和患者结果的改善.
- 调查结果将通过各种传统和非传统道传播.
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