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警报与护理 - - 减少美国医院的防摔警报使用的实施策略:混合2有效性实施试验的研究协议
Kea Turner1,2,3, Molly McNett4, Catima Potter5
1Department of Health Outcomes and Behavior, Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL, 33612, USA. kea.turner@moffitt.org.
这项研究测试了"用注意力报警",这是一种减少医院防摔报警使用的策略. 调查结果将指导退出实施的努力,并评估指导的有效性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 取消实施的科学.
背景情况:
- 防摔报警器在美国医院被广泛使用,尽管有效性的证据有限.
- 这些报警可以对患者 (睡眠障碍,运动限制) 和工作人员 (报警疲劳) 产生负面影响.
- 迫切需要基于证据的策略来减少防摔报警器的使用.
研究的目的:
- 测试"小心警报"撤销战略的有效性和实施情况.
- 为了比较高强度与低强度的辅导,减少防摔报警的使用.
- 确定在急性护理机构中消除防摔警报的障碍和促进因素.
主要方法:
- 一个步骤的随机对照试验,涉及30名美国急症医院的成年医疗或医疗外科病房.
- 利用选择明智的退出实施框架来指导战略制定和实施.
- 评估降落预防报警使用率的主要结果,包括降落率和受伤率在内的平衡措施.
主要成果:
- 该部分应在研究完成并获得结果后填写.
结论:
- 调查结果可以在各种医疗保健机构中提供可扩展的防摔报警的实施信息.
- 这项研究将通过评估低强度指导策略的有效性来推进非实施科学.
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