促进成人重症监护病房成本效益的干预措施:来自多学科和跨国eDelphi研究的共识声明和最佳实践的考虑
Amit Kansal1, Jos M Latour2,3, Kay Choong See4
1Department of Intensive Care Medicine, Ng Teng Fong General Hospital, Jurong Health Campus, National University Health System, Singapore, Singapore. Kansal_Amit@nuhs.edu.sg.
Critical care (London, England)
|December 12, 2023
概括
国际专家确定了9个关键的最佳实践,用于具有成本效益的成人重症监护病房 (ICU). 这些指导方针促进高质量的重症监护和明智的资源使用,这对于改善全球患者结果至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
背景情况:
- 对于成年重症监护病房 (ICU) 的成本效益干预措施的证据有限.
- 需要全球适用的最佳实践,以优化ICU的资源利用.
研究的目的:
- 为最佳ICU实践确定全球适用的干预措施.
- 为成年ICU中资源的合理使用提供指导.
主要方法:
- 一个经过三轮修改的在线Delphi过程,涉及来自21个国家的61名多学科ICU专家.
- 当超过70%的专家投票支持干预时,达到了共识,而超过50%的指导委员会支持关键干预.
- 使用了定性和定量方法,包括利克特比例表决和专家评论分析.
主要成果:
- 在成年人ICU的成本效益方面的50个最佳实践考虑上达成共识.
- 通过了九项"关键"最佳实践考虑,包括多学科护理模式,员工培训,质量审计,动态人员配置,终身护理,早期动员和绿色ICU倡议.
- 这些关键考虑旨在确保高质量的重症监护服务.
结论:
- 德尔菲与国际专家进行的一项研究产生了9个共识声明和最佳实践,用于成本效益高的成年ICU.
- 利益相关者应领导努力,使这些最佳实践适应当地环境和可用资源.
- 实施这些准则可以促进高质量的重症监护和高效的资源管理.
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