了解针对性实施干预措施的采用和适应,以减少支气管炎的调查和治疗
Tim Robertson1, Meredith L Borland1,2, Sharon O'Brien1,3
1Perth Children's Hospital, Nedlands, Western Australia, Australia.
Acta paediatrica (Oslo, Norway : 1992)
|January 8, 2024
概括
这项研究研究了医院如何调整干预措施,以减少婴儿支气管炎的不必要治疗. 调查结果强调了当地修改对于在紧急部门成功实施的重要性.
科学领域:
- 儿科急救医学 儿科急救医学
- 实施科学 实施科学
- 提高质量 提高质量
背景情况:
- 婴儿支气管炎往往导致在急诊室进行不必要的调查和治疗.
- 有针对性的实施干预措施已被证明是有效的减少这些做法.
- 了解当地适应对于成功采用干预措施至关重要.
研究的目的:
- 评估经过验证的有针对性的实施干预措施的采用和本地修改.
- 评估这些干预措施是如何适应在澳大利亚医院的婴儿与支气管炎.
- 确定影响适应过程的因素.
主要方法:
- 在四家澳大利亚医院进行了一项多中心,混合方法的质量改善研究 (2021年5月至12月).
- 医院接受了标准化的实施干预套餐和培训.
- 使用实时适应跟踪日志和半结构面试 (n=12),采用FRAME-IS编码面试.
主要成果:
- 总共进行了23次调整教育材料和干预措施.
- 常见的修改包括缩短演示文稿,添加定义和格式更改.
- 审计和反的使用方式有所变化,有针对性的教学影响了适应.
结论:
- 对适应的现实世界分析为撤销计划提供了有价值的见解.
- 调查结果为未来的国家推广战略提供了信息,用于在紧急部门实施方案.
- 当地调整干预措施是成功撤销实施的关键.
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