在体外膜氧化 (ECMO) 中的关键性能指标:系统审查协议
Manuel Tisminetzky1, Roman Nepomuceno2, Janice Y Kung3
1Critical Care Medicine, UHN, Toronto, Ontario, Canada.
BMJ open
|December 9, 2023
概括
本系统性审查确定了体外膜氧化 (ECMO) 的关键绩效指标 (KPI),以规范重症患者的护理. 这些发现旨在减少实践的变化,并改善ECMO治疗的结果.
科学领域:
- 临界护理医学 临界护理医学
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 身体外膜氧化 (ECMO) 是严重心肺衰竭的重要干预措施.
- ECMO是资源密集型的,需要专门的护理,并表现出显著的实践变化.
- 需要标准化质量措施来优化ECMO的应用和患者的治疗结果.
研究的目的:
- 系统地审查和评估ECMO中关键绩效指标 (KPIs) 的证据.
- 确定和评估与重症患者ECMO相关的现有质量措施.
- 为ECMO制定标准化关键产品指标提供信息,以减少实践变化.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE,CINAHL,Cochrane Library) 和灰色文献中进行全面的搜索.
- 使用已建立的工具 (纽卡斯尔-太华量表,柯克兰偏差风险,COSMIN检查清单) 进行包含研究的质量评估.
- 对已识别的关键关键指标进行描述性分析,评估其重要性,可接受性,实用性,可行性,操作特性,EMR集成和可负担性.
主要成果:
- 该审查将确定和评估一系列与ECMO护理相关的关键绩效指标.
- 将评估ECMO关键关键指标现有研究的方法质量.
- 主要关键指标将根据国家质量测量的既定标准进行评估.
结论:
- 这一系统性审查将为ECMO提供基于证据的关键关键指标的全面概述.
- 结果将支持ECMO实践的标准化和质量改进倡议.
- 确定的关键关键指标可以指导未来的研究和临床实施,以提高患者的护理和结果.
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