实施科学 在儿科重症监护医学的研究
Charlotte Z Woods-Hill1,2, Heather Wolfe1,2, Sara Malone3
1Division of Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
概括
实施科学 (IS) 帮助儿科重症监护室 (PICU) 采用最佳实践,改善关心重症儿童的护理. 本概述指导儿科重症医生使用IS来弥合证据和临床实践之间的差距.
科学领域:
- 儿科重症监护 儿科重症监护
- 实施科学 实施科学
- 医疗服务研究 医疗服务研究
背景情况:
- 在儿科重症监护室 (PICU) 中,基于证据的实践往往没有得到一致的应用.
- 这种护理差距可能会使重症儿童的结果变得更糟.
- 实施科学 (IS) 提供了系统方法来应对这一挑战,但其在PICU中的应用是有限的.
研究的目的:
- 为儿科重症医生提供IS的概念和方法概述.
- 解释IS对PICU患者的好处.
- 区分IS与质量改进 (QI),并指导IS研究的评估.
主要方法:
- 这篇叙事综述综合了儿科实施科学卓越 (ECLIPSE) 组的集体专业知识.
- 该审查侧重于IS在PICU环境中的原则和应用.
- 它将IS与传统的研究和质量改进方法进行对比.
主要成果:
- 信息化需要概念上的转变,优先考虑可概括的知识和特定的研究设计,而不是传统的临床研究成果.
- 在IS和QA文献中,术语和重点不同,强调更广泛的适用性和系统的实施策略.
- 了解这些区别对于儿童重症监护的有效研究和实践至关重要.
结论:
- 如果未能在儿科重症监护中实施基于证据的实践,可能会对患者造成伤害.
- 临床医疗是一个务实且越来越重要的方法,可以改善重症儿童的护理.
- 儿科重症医生应该接受IS以提高临床实践和患者的结果.
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