开发一种实施干预措施,用于在急诊室管理急性
David Herdman1, Hena Ahmad2, George Antoniades3
1Audiovestibular Medicine, St George's University Hospitals NHS Foundation Trust, London, UK David.Herdman@stgeorges.nhs.uk.
Emergency medicine journal : EMJ
|October 24, 2023
概括
临床医生使用急性的诊断测试面临障碍,包括记忆和训练差距. 为应对这些挑战,制定了一项实施战略,旨在改善诊断和患者护理.
科学领域:
- 实施科学 实施科学
- 紧急医疗 紧急医疗
- 临床诊断 临床诊断 临床诊断
背景情况:
- 基于证据的床边测试存在于急性的诊断.
- 缺乏基于证据的策略阻碍了临床医生实施这些测试.
- 实施科学原则被用来解决这个差距.
研究的目的:
- 为急性的诊断设计一个实施战略.
- 检查在急诊部 (ED) 使用床边测试的促进者和障碍.
主要方法:
- 使用理论领域框架和实施研究综合框架进行了一项调查.
- 调查和半结构面试与英国一家教学医院的急诊医生 (EC) 进行.
- 使用"实施变革的专家建议"框架选择了实施策略.
主要成果:
- 只有不到一半的受访EC表示使用床边测试进行诊断.
- 常见的障碍包括感知到的复杂性,缺乏材料,记忆问题和负面经历.
- 委员会表达了强烈的愿望,希望在急性管理方面发生变化.
结论:
- 诸如记忆,材料不足和训练等障碍阻碍了急性的管理.
- 临床医生之间存在着强烈的变革愿望.
- 描述了最初的实施战略阶段,需要进一步测试.
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