英国整形瘤管理 (BOOM) 的审计
James E Archer1, Govind S Chauhan1, Varun Dewan1
1The Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.
The bone & joint journal
|September 30, 2023
概括
英国骨质转移 (MBD) 的骨科护理表现出对国家指导方针的不充分遵守,特别是在手术前的调查和单独转移管理中. 对于这个患者群体,需要改进和投资.
科学领域:
- 整形瘤学 整形瘤学
- 医疗保健服务研究 医疗服务研究
- 在瘤学瘤学.
背景情况:
- 骨转移严重影响患有晚期恶性瘤的患者,对骨科服务和医疗保健经济构成挑战.
- 遵守既定的指导方针对于优化患者护理和资源分配在转移性骨病 (MBD) 的管理中至关重要.
研究的目的:
- 评估英国人是否遵守英国骨科瘤学会 (BOOS) /英国骨科协会 (BOA) 对英国转移性骨病 (MBD) 患者的指导方针.
- 确定不合规的领域,并为改善护理标准的策略提供信息.
主要方法:
- 一个前性的,多中心的国家协作审计,涉及84家英国医院.
- 在三个月内 (2021年4月至6月) 从1,137名符合条件的MBD患者收集的数据.
- 分析了846名患有骨盆和尾骨髓损伤的患者,将实践与BOOS/BOA指南进行比较.
主要成果:
- 观察到的遵守率很低:39%的中心缺乏MBD领导,19%的中心有不充分的X射线图,29%的中心缺乏最新的分期CT扫描.
- 对瘤学意见 (69%) 和预后估计 (38%) 的指导方针的非最佳遵守.
- 没有充分的手术前调查和瘤学输入,特别是在单独转移的患者中 (只有60%寻求第三级意见/活检).
结论:
- 目前英国的MBD管理实践并不总是符合国家指导方针.
- 在手术前的调查和单一转移的管理中需要显著改进.
- 投资和遵守新的标准,如BOA创伤标准 (BOAST),对于提高对MBS患者的护理至关重要.
更多相关视频
07:24Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
10.4K
07:44Practical Considerations in Studying Metastatic Lung Colonization in Osteosarcoma Using the Pulmonary Metastasis Assay
Published on: March 12, 2018
10.2K
相关概念视频
Standards of Care II
672
Nurses bear specific legal responsibilities under several federal statutes, including:
672
Bone Marrow Sampling and Transplants
352
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
352
Methods of Documentation II: POMR
982
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
982
SBAR II: Application of SBAR
4.5K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.5K
Standards of Care I
712
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
712
Inflammatory Bowel Disease V: Surgical Management
164
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
164
