接受医生对医院间转移的适当原因的多机构调查:混合方法评估
Khanh T Nguyen1, Tiffany M Lee2, Stephanie K Mueller
1From the Section of Hospital Medicine, University of Chicago, Chicago, Illinois.
Journal of patient safety
|February 12, 2024
概括
前线医生优先考虑专科护理需求和医院间转移 (IHT) 的病床容量. 患者的偏好和与COVID相关的护理不太被考虑,这凸显了基于证据的IHT指导方针的需要.
科学领域:
- 医疗保健管理的管理
- 临床实践指南 临床实践指南
- 医生决策能力 - - 医生决策能力
背景情况:
- 医院间转移 (IHT) 缺乏标准化的基于证据的指导方针.
- 前线医生对IHT接受标准的看法对于开发最佳实践至关重要.
- 了解当前和理想的IHT决策因素可以为未来的研究和政策提供信息.
研究的目的:
- 确定影响医院医生接受医院间转移患者的当前和理想因素.
- 为未来IHTs的研究议程和临床指南的制定提供信息.
主要方法:
- 在11个不同医院的医院医生进行了横截面调查.
- 医生报告了在对IHT请求进行分类时考虑各种因素的频率 (当前与理想).
- 对写入回复的定性分析确定了接受标准和沟通中的关键主题.
主要成果:
- 需要特殊的程序/非程序护理和床位容量是最常被考虑的因素.
- 与COVID相关的护理,保险和患者/家庭偏好是最不考虑的.
- 更有经验的医生在当前和理想实践中更经常考虑患者/家庭偏好.
结论:
- 医院医生通常同意IHT接受的关键因素,强调需要专业护理.
- 当前和理想的IHT接受标准显示了对齐,优先考虑医疗必要性.
- 这些发现强调了需要制定正式的指导方针来规范IHT实践.
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