在重症监护室使用检查清单:一个范围审查
Ethan J Erikson1, Daniel A Edelman2, Fiona M Brewster3
1Intensive Care Unit, Cabrini Hospital, Malvern, Melbourne, Australia.
Critical care (London, England)
|December 1, 2023
概括
密切护理病房检查清单,包括圆形和妄想查类型,被广泛使用,并显示出主要是积极的结果. 未来的研究应该为其持续改进制定指导方针.
科学领域:
- 关键护理医学 关键护理医学
- 患者安全 患者安全
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对重症监护室 (ICU) 检查清单进行了广泛的研究,但缺乏对其更广泛的作用,实施,验证和临床背景的全面审查.
- 需要进行范围审查,以映射现有文献,并为未来关于ICU检查清单的研究提供信息.
研究的目的:
- 对有关重症监护室检查清单的文献进行范围审查.
- 识别使用的检查清单类型,其实施流程和相关结果.
主要方法:
- 在多个数据库 (MEDLINE,Embase,Scopus,Google Scholar) 和灰色文献中进行系统搜索.
- 对摘要和全文进行选,然后对包含的研究进行参考选.
- 提取研究特征,设计,检查清单干预措施和结果.
主要成果:
- 分析了167项研究,确定了各种类型的检查清单:圆形化,妄想查,转移/移交,CLABSI预防和呼吸道管理.
- 在72个临床结果中,65个是阳性;在122个护理过程结果中,114个是阳性.
- 痴呆症查和圆形化检查清单得到了良好实施和验证.
结论:
- 检查清单在ICU和临床指南中很普遍,临床和护理过程结果主要是积极的.
- 未来的研究应该专注于为检查清单类型和持续改进过程制定临床指南.
- 痴呆症查和圆形化检查清单在当前文献中显示出强有力的实施和验证.
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