在儿科急诊医学中明智选择的建议:提高价值的五个机会
Paul C Mullan1, Kelly A Levasseur2, Lalit Bajaj3
1Division of Emergency Medicine, Department of Pediatrics, Eastern Virginia Medical School, Children's Hospital of the King's Daughters, Norfolk, VA.
Annals of emergency medicine
|February 13, 2024
概括
儿科急诊室 (ED) 现在有选择明智的建议,以减少低价值护理. 该倡议旨在减少儿童不必要的检测和治疗,提高患者安全和医疗保健价值.
科学领域:
- 儿科急救医学 儿科急救医学
- 改善医疗保健质量 改善医疗保健质量
- 临床实践指南 临床实践指南
背景情况:
- 儿科急诊室 (ED) 中不必要的诊断测试和治疗有助于增加成本和潜在的患者伤害.
- 儿科急诊机构的低价值护理需要有针对性的干预措施,以改善患者的治疗结果和资源利用.
研究的目的:
- 制定第一个专门针对儿科紧急医疗 (PEM) 的明智选择建议.
- 在儿科EDS中识别和优先考虑低价值的诊断测试和治疗方法.
主要方法:
- 一个系统的,代的过程,涉及PEM医生和跨专业ED临床医生的工作组.
- 建议项目的收集和评分,然后对美国儿科学会质量转型委员会 (AAP COQT) 进行电子调查.
- 来自美国和加拿大的100多个利益相关者和专业团体的审查和反.
主要成果:
- 工作组产生了第一个为儿科ED选择明智的建议.
- 完成了五项关键建议,重点是减少呼吸系统疾病的诊断测试,精神疾病的医疗许可,发作,便秘和病毒感染.
- 建议书由选择明智的美国和选择明智的加拿大同时发表.
结论:
- 一个跨国PEM工作组成功制定了基于证据的建议,以减少儿科ED的低价值护理.
- 未来的努力将集中在传播这些建议和实施干预措施,以提高护理质量和价值.
- 这些指导方针代表了优化在紧急情况下为儿科患者提供护理的重要一步.
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