创伤患者数量和护理质量:一个范围审查
Wouter Foppen1, Yvette Claassen2, Debby Falck3
1Department of Radiology and Nuclear Medicine, University Medical Center Utrecht, Utrecht University, 3584 CS Utrecht, The Netherlands.
Journal of clinical medicine
|August 26, 2023
概括
医院中创伤患者数量较高与严重创伤患者的生存率改善相关. 然而,最佳的患者体积值和对其他质量方面的影响仍然未确定.
科学领域:
- 医疗保健 质量 研究 研究 医疗保健
- 创伤护理系统创伤护理系统
- 医疗保健服务研究 医疗服务研究
背景情况:
- 荷兰2022年的医疗保健协议解决了医疗保健方面的挑战,包括创伤患者的集中治疗.
- 对于重大创伤中心,规定了每年最少的重创患者人数.
- 本综述考察了创伤患者数量对医疗保健质量领域的影响.
研究的目的:
- 研究创伤患者数量与医疗保健质量之间的关系.
- 综合有关医院病例数量对创伤患者结果影响的证据.
- 识别有关创伤量和护理质量的知识差距.
主要方法:
- 在PubMed的系统文献搜索中,寻找过去10年的研究.
- 包括报告创伤患者数量和医疗保健质量的定量数据的研究.
- 在不同质量领域对结果进行分类和总结.
主要成果:
- 分析了17项涉及超过150万患者的研究.
- 在13项研究中,有11项发现创伤患者数量增加和生存率之间存在正相关性.
- 关于体积对效率,安全和及时性的影响的数据有限;其他质量领域没有得到解决.
结论:
- 在高人数的医院接受治疗与创伤患者的更好的生存率有关.
- 无法确定最佳创伤护理的理想医院体积值.
- 创伤量与其他护理质量领域之间的关联需要进一步调查.
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