加拿大昏途径的实施:一个非随机阶段形试验试点
Venkatesh Thiruganasambandamoorthy1,2,3, Maria Keller4, Phuong Anh Iris Nguyen5
1Department of Emergency Medicine, University of Ottawa, Ottawa, ON, Canada. vthirug@ohri.ca.
CJEM
|August 31, 2023
概括
加拿大综合征途径 (CSP) 试点研究成功满足了急诊部综合症管理的大部分基准,证明了高度采用和忠诚度. 为了实现多中心实施,需要进一步优化患者覆盖范围.
科学领域:
- 紧急医疗 紧急医疗
- 临床途径 临床途径
- 医疗保健服务研究 医疗服务研究
背景情况:
- 加拿大失眠途径 (CSP) 和加拿大失眠风险评分 (CSRS) 是为了标准化急诊室 (ED) 失眠管理而开发的.
- 进行了一项试点研究,以评估在现实临床环境中实施CSP的可行性.
研究的目的:
- 评估患者纳入,过渡期的长度,以及CSP的过程措施 (参与,覆盖,采用,忠诚).
- 准备在EDs中实施CSP的多中心实施.
主要方法:
- 在两个医院进行了为期7个月的非随机阶段形试验.
- 包括医生和患有昏迷的患者 (≥18岁).
- 在干预期间,分析了过程措施和患者特征.
主要成果:
- 包括1002名符合条件的患者.
- 收养率达到84.4%,忠诚度仍然很高 (83.3%).
- 患者覆盖率为55.0%,低于60%的目标.
结论:
- 该试点研究实现了多中心CSP实施的大部分基准,除了患者可达.
- 一个月的过渡期似乎是足够的,但为了持续实施,需要定期提醒.
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