ambulatory colectomy 的质量指标:文献搜索和专家共识
Ellen Coeckelberghs1, Gabriele Bislenghi2, Albert Wolthuis2
1Leuven Institute for Healthcare Policy, Department of Public Health and Primary Care, KU Leuven - University of Leuven, Leuven, Belgium. Ellen.coeckelberghs@kuleuven.be.
Surgical endoscopy
|February 5, 2024
概括
这项研究确定了32个质量指标 (QI),以指导和评估门诊切除术护理. 这些指标旨在标准化和提高当日放电 (SDD) 切除术程序的质量.
科学领域:
- 手术创新 在外科创新.
- 患者护理标准的标准
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 增强恢复计划 (ERP) 和微创手术 (MIS) 已经标准化了选择性切除术护理,减少了病率和停留时间 (LOS).
- 为了安全地在门诊或当天出院 (SDD) 环境中实施切除术,需要取得重大进展.
- 目前,对于门诊切除术手术,没有最低护理质量标准.
研究的目的:
- 确定和定义质量指标 (QI),以评估门诊切除术的护理质量.
- 建立一套全面的质量指标,以确保安全有效地实施当天出院的切除术.
主要方法:
- 进行了全面的文献搜索 (2010-2021),以确定门诊切除术的建议.
- 从九篇相关论文中得出155个QI的初始清单,随后改进为88个指标.
- 与国际手术和麻醉学专家进行的一轮德尔菲调查,以达成最终32个QI清单的共识.
主要成果:
- 文献搜索产生了3841个结果,其中9篇论文被选中用于QI识别.
- 在删除重复和过时指标后,最初的155个QI清单缩小到88个.
- 在32个QI的最终清单上达成共识,分为七个领域,以全面评估门诊切除术护理.
结论:
- 提出了一份由32个质量指标组成的验证清单,以指导和评估门诊切除术的实施.
- 这些质量指标为标准化和改善同一天出院切除术患者的护理质量提供了框架.
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