评估遵守2013年最佳实践指南,以预防高风险儿科脊柱手术中的手术部位感染
Alondra Concepción-González1, J Manuel Sarmiento2,3, Christina C Rymond2
1Department of Orthopedic Surgery, Columbia University Irving Medical Center, Morgan Stanley Children's Hospital of New York Presbyterian, 3959 Broadway, CHONY 8-N, New York, NY, 10032-3784, USA. aconcepcion@gwu.edu.
Spine deformity
|September 4, 2023
概括
外科医生遵守儿科脊柱形最佳实践指南 (BPGs) 预防手术部位感染 (SSI) 的程度很高. 对BPG和作者身份的认识与更好的遵守有关.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 预防传染病 预防传染病
背景情况:
- 十年前制定了最佳实践指南 (BPG),以减少儿科脊柱形手术中的手术部位感染 (SSI).
- 这些BPG的成功实施和外科医生遵守情况仍未确立.
- 这项研究旨在评估外科医生是否遵守已建立的BPG.
研究的目的:
- 评估外科医生是否遵守儿科脊柱形手术的最佳实践指南.
- 确定与更高的合规性相关的因素,假设BPG作者,外科医生经验,病例负载和意识与合规性相关.
主要方法:
- 匿名调查分发给北美和欧洲的外科医生,包括BPG作者和非作者.
- 合规性被测量使用从利克特尺度响应得出的平均合规性得分 (MCSs).
- 统计分析将合规性得分与外科医生人口统计和对BPGs的认识相关联.
主要成果:
- 在142名受访者中观察到一个高的合规率 (73.7%报告高或完美的合规率).
- 北美外科医生,BPG作者和了解指南的外科医生表现出明显更高的合规得分.
- 在实践年或年度案件量与合规水平之间没有发现显著的相关性.
结论:
- 外科医生对儿科脊柱形的BPG的遵守通常很高.
- 对BPG的认识和作者身份是与增加遵守相关的关键因素.
- 可能需要进一步的策略,以确保在所有外科设置中一致实施.
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