评估虚拟紧急护理的质量:障碍,动机和质量措施的实施
David C Whitehead1,2, Kathleen Y Li3, Emily Hayden4,5
1Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA. dwhitehead.med@gmail.com.
虚拟紧急护理计划显示多种质量监测. 资源有限阻碍了进步,突出了需要标准化指标,以确保一致的,高质量的虚拟医疗保健提供.
科学领域:
- 数字健康数字健康
- 改善医疗保健质量 改善医疗保健质量
- 远程医疗远程医疗
背景情况:
- 虚拟紧急护理 (VUC) 可以取代高达20%的急诊室访问.
- 缺乏质量指导和报告限制了对VUC质量监测的理解.
研究的目的:
- 在VUC计划中的质量监测举措的特点.
- 评估质量指标,动机和质量测量的障碍.
主要方法:
- 与VUC领导人进行了半结构化采访.
- 使用国家质量论坛远程医疗测量框架进行分类的质量指标.
- 对面试成绩单进行定性分析,以确定动机和障碍.
主要成果:
- 参与了8个VUC项目 (61.5%的响应率).
- 大多数项目 (7/8) 使用临床和运营效率指标;只有一个 (1/8) 衡量了股权.
- 最常见的障碍是有限的资源 (6/8).
结论:
- 在VUC质量测量中存在显著差异.
- 由于VUC的快速增长,需要确定最佳质量指标.
- 标准化测量对于识别护理变化和指导改进至关重要.
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