关键护理医学学会关于认知和应对ICU外临床恶化的指导方针:2023年
Kimia Honarmand1,2, Randy S Wax3,4, Daleen Penoyer5
1Division of Critical Care, Department of Medicine, Mackenzie Health, Vaughan, ON, Canada.
Critical care medicine
|January 19, 2024
概括
医院应实施快速反应小组 (RRT/MET),以快速识别和治疗恶化的非ICU患者. 及时的生命体征监测和临床医师教育对于改善患者的治疗结果和降低死亡率至关重要.
科学领域:
- 医学实践 医学实践
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 非重症监护室 (ICU) 患者的临床恶化有助于可预防的发病率和死亡率.
- 医院正在实施系统,以检测和响应非ICU环境中的危急疾病.
研究的目的:
- 制定基于证据的建议,以优化识别和应对非ICU患者的临床恶化.
- 引导医院临床医生和管理人员改善对高危患者的护理.
主要方法:
- 一个由25名专家组成的专家小组制定了临床实践指南.
- 使用人口,干预,控制和结果 (PICO) 格式的系统文献综述.
- 用于证据评估的建议评估,开发和评估 (GRADE) 方法的分级.
主要成果:
- 已发布10份声明,用于识别和应对非ICU患者的危急疾病.
- 强烈建议在全医院部署快速反应小组 (RRT/MET),并明确激活标准.
- 临床医生教育关于恶化症状的条件建议,并纳入患者/家庭的关切.
结论:
- 为临床医生和管理人员提供指导,以改善危急疾病风险的非ICU患者的护理.
- 重点是及时准确地获取生命体征,以及快速反应系统的作用.
- 质量改进过程是有效的快速响应系统不可或缺的一部分.
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