我们可以推动减少外科手术前低价值护理吗? 影响安全实践实施的决策因素
Daniel Paz-Martin1, Daniel Arnal-Velasco2
1Anaesthesia and Intensive Care, University of Navarra, Pamplona.
Current opinion in anaesthesiology
|September 28, 2023
概括
在术后期减少低价值护理 (LVC) 需要了解决策和障碍. 行为经济学的策略,就像推动单位一样,提供了一种有希望的方法来提高护理价值并减少浪费.
科学领域:
- 医疗保健管理的管理
- 行为经济学是一种行为经济学.
- 在外科手术期间的医学.
背景情况:
- 低价值护理 (LVC) 代表了大量的浪费和可预防的伤害,特别是在术后环境中.
- 在过去十年中,先前的减少LVC的努力并没有带来可持续的改善.
- 了解决策流程和识别障碍是有效减少LVC的关键第一步.
研究的目的:
- 为了突出外科手术前期的LVC来源.
- 了解导致LVC持续存在的决策动态.
- 找出改变的障碍,并探索减少LVC的实施策略.
主要方法:
- 在外科手术前期对LVC的文献综述.
- 分析决策过程和改变障碍.
- 探索行为经济学原则和减少LVC的策略.
主要成果:
- LVC,包括不必要的手术和低风险患者的预麻醉测试,是浪费和伤害的主要来源.
- 行为经济学,通过对齐的策略和推动单位,提供了一个机会,以提高LVC减少的成功.
- 应用基于行为科学的结构化策略可以有效地提高高价值护理.
结论:
- 解决LVC需要对其来源和影响其持久性的因素有深刻的了解.
- 行为经济学提供了创新的工具,如推动单位,以推动医疗保健的有效变革.
- 实施行为科学原则是促进高价值护理在整个医疗保健系统中有效和可持续的关键.
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