实施早期发作的败血症计算器的障碍和促进因素:一个多中心调查研究
Liesanne E J van Veen1,2,3, Bo M van der Weijden1,4, Leti van Bodegom-Vos5
1Department of Paediatrics, Tergooi MC, Laan van Tergooi 2, 1212 VG Hilversum, The Netherlands.
为了有效地实施新生儿早期性败血症 (EOS) 计算器,需要解决能力问题并改善信息传输. 促进者包括教育,EHR整合,以及减少抗生素使用的积极期望.
科学领域:
- 新生儿医学 新生儿医学
- 医疗保健实施科学 医疗保健实施科学
背景情况:
- 新生儿早期性败血症 (EOS) 计算器的采用在全球范围内不断增长.
- 之前的研究表明,它有可能减少抗生素处方.
- 成功实施是最大化EOS计算器影响的关键.
研究的目的:
- 确定实施EOS计算器的障碍和促进因素.
- 为制定有效的实施战略提供信息.
主要方法:
- 在荷兰13家医院进行了多中心的横截面调查.
- 参与的医生,住院医生,护士和临床产科医生 (n=465).
- 数据分析使用了实施研究综合框架 (CFIR).
主要成果:
- 关键障碍包括预期的部门能力问题和部门间母亲信息传输问题.
- 促进者包括感知到的优势,如利益相关者教育,EHR集成,以及对计算器安全性和有效性的积极期望.
结论:
- 需要定制的实施干预措施.
- 策略包括识别冠军,有针对性的教育,EHR整合,促进共同责任和结果评估.
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