相关实验视频

Updated: Jul 16, 2025

Intraoperative Assessment of Resection Margins in Oral Cavity Cancer: This is the Way

Intraoperative Assessment of Resection Margins in Oral Cavity Cancer: This is the Way

Published on: May 10, 2021

在低风险手术之前取消不必要的测试的目标:质量研究

Caroline E Richburg¹, Cecilia M Pesavento¹, Andrew Vastardis²

¹University of Michigan Medical School, Ann Arbor, Michigan; National Institute of Health Short-Term Biomedical Research Training Program, Bethesda, Maryland.

The Journal of surgical research

|September 13, 2023

概括

由于知识缺口和临床医生之间的沟通不佳,不必要的手术前检测仍然存在. 解决这些问题,特别是通过教育和明确的指导方针,可以帮助减少低风险手术前不必要的测试.

科学领域:

医疗保健服务研究医疗服务研究
医学教育医学教育
实施科学实施科学

背景情况:

在低风险手术前进行常规的手术前检测是常见的,尽管多专业建议反对它.
取消不必要测试的实施面临重大挑战.

研究的目的:

在低风险的手术环境中确定不必要的手术前检测的决定因素.
为了提供常规手术前检测的执行策略的信息.

主要方法:

专注的民族学是在一个大型的学术机构工作.
数据收集包括在手术前评估诊所和门诊外科手术中心进行半结构面试和直接观察.
用叙事主题分析来确定主题,并将其映射到针对慢性疾病的定制实施 (TICD) 框架.

主要成果:

三十名临床医生 (外科医生,麻醉师,PCP,PA,护士,MA) 参与其中.
三个主要主题出现了:共享价值观 (优先考虑患者安全,以证据为基础的医学),知识差距 (关于测试数据和指导方针) 和沟通崩 (根据其他提供者的感知期望订购测试).

结论:

临床医生表现出有关手术前检测指南的知识差距,这表明他们可能会接受教育干预措施以消除实施.
达成共识的指导方针有可能改善跨学科的沟通,并减少由被认为的提供者期望驱动的测试.

关键词:

临床决策的过程撤销实施的情况.坚持指导方针的坚持.实施科学实施科学这是一种低风险的手术.在手术前进行手术前检测.

更多相关视频

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

相关概念视频

Psychosurgery

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...