在英国开发心血管疾病的输送指标和输送激活剂:修改后的Delphi研究
Chris Gale1, Chris Arden2, Ameet Bakhai3
1Department of Cardiology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
BMJ open quality
|February 27, 2024
概括
这项研究开发了33个交付指标和支持者,以帮助评估心血管疾病护理质量,并推动系统层面的改进. 这些工具有助于心脏网络评估实现心血管健康目标的进展.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 现有的心血管疾病 (CVD) 风险降低质量标准缺乏系统级变革促进者.
- 心脏病临床网络需要更好的工具来评估心血管疾病目标的进展.
研究的目的:
- 为评估心血管疾病护理开发一套提供指标.
- 创建心血管医疗保健系统结构变革的促进者.
主要方法:
- 适应了欧洲心脏病学会的四步质量指标开发过程.
- 涉及一个核心项目组和一个来自国家卫生服务 (NHS) 的更广泛的审查小组.
- 代确定了关键因素,开发了候选指标,并评估了国家数据的可用性.
主要成果:
- 确定了6个CVD优先事项和21个关键实施因素.
- 开发了57个潜在指标,改进为33个交付指标和推动者.
- 国家数据集可用于22个交付指标;11个交付支持者可以使用本地数据.
结论:
- 开发的指标和推动因素有助于对心血管疾病医疗服务的集中评估.
- 该套件支持对影响心血管疾病护理的因素的评估.
- 旨在改善医疗保健系统内的结构变化和朝着心血管疾病目标的进展.
更多相关视频
相关概念视频
Assessment of the Cardiovascular System I: Subjective Data
338
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
338
Errors occurring during blood pressure monitoring
723
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
723
Assessment of the Cardiovascular System II: Inspection
249
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
249
Imaging Studies for Cardiovascular System I:Echocardiography
331
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
331
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
91
Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
91
Pre-Procedural Guidelines for Assessing Blood Pressure
563
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
563


