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全国评估改善可预防创伤死亡的机会:混合方法研究

Junsik Kwon¹, Myeonggyun Lee², Kyoungwon Jung¹

¹Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon 16499, Republic of Korea.

Healthcare (Basel, Switzerland)

|August 26, 2023

概括

改善创伤护理质量对于公共卫生至关重要. 这项研究确定了可预防的死亡,并突出了在医院前,医院内和医院创伤治疗过程中改善的关键领域.

科学领域:

公共卫生公共卫生
创伤护理系统系统
改善医疗质量改善医疗质量

背景情况:

创伤是一个重要的全球公共卫生问题,不成比例地影响到劳动年龄人口.
有效的国家级质量管理对于优化重大创伤结果至关重要.
韩国每两年进行一次调查,以评估可预防的创伤死亡率.

研究的目的:

根据全国可预防的创伤死亡率,分析改善创伤治疗过程的机会.
确定在医院前,医院间和医院护理阶段需要改进的具体领域.
为改善临床和全身创伤护理提供见解.

主要方法:

专家小组审查了2017年 (8282人死亡) 和2019年 (8482人死亡) 的创伤死亡记录.
确定的可预防死亡:2017年258人,2019年160人.
将改进机会分为医院前,医院间和医院阶段.

主要成果:

出血是可预防的创伤死亡的主要原因,其次是败血症/多器官衰竭和中枢神经系统损伤.
常见的医院阶段缺陷包括延迟的静血程序和输血.
医院间转移的特点是患者到达时间的显著延迟.

结论:

提高创伤护理需要改进治疗技术和集中在专门设施的护理.
在患者转移系统中实施全面的审查和性能改进至关重要.
这些发现为改善创伤护理提供了有价值的临床和系统视角.

关键词:

死亡率死亡率患者转移患者转移质量改善质量改善治疗结果治疗结果伤口和伤害的伤害和伤害.

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