炎症性肠病 (IBD) 服务的质量改进练习:范围审查
Katie Ridsdale1, Kajal Khurana1, Azizat Temidayo Taslim2
1School of Health and Related Research, The University of Sheffield, Sheffield, United Kingdom.
炎症性肠病 (IBD) 的质量改善举措在疫苗接种和药物服药等特定领域取得了成功. 然而,IBD护理的许多方面缺乏公布的质量改善工作,这表明需要更广泛的研究.
科学领域:
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高科学 提高质量
背景情况:
- 质量改善 (QI) 举措对于改善炎症性肠病 (IBD) 患者护理至关重要.
- 这些举措往往侧重于改善遵守既定临床指导方针.
- 需要全面了解IBD中现有的QI努力的范围和质量.
研究的目的:
- 系统地审查和评估IBD护理中公布的QA倡议的范围和质量.
- 识别成功的干预措施及其所取得的成果.
- 突出IBD领域当前的QI研究中的差距.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE,CINAHL,Web of Science) 中进行了系统的文献搜索.
- 两个独立的审查员选并从同行评审的文章和会议摘要中提取数据,报告IBD中的QI举措,并提供基线和后续数据.
- 举措按问题,干预和结果进行分类,并使用质量改善最低质量标准集进行评估,并将其映射到IBD标准中.
主要成果:
- 确定了100项研究,重点是疫苗接种,药物治疗和查.
- 常见的干预措施包括提供者教育,新服务协议和电子医疗记录增强.
- 智商的努力主要针对"持续护理"和"IBD服务",仅限于"预诊断"",新诊断"",爆发管理"",手术"或"住院护理".
结论:
- 有证据表明可以改善特定的IBD服务功能,但许多领域缺乏已公布的QI计划.
- 确定了成功的QI干预措施,为未来的实践提供了见解.
- 提供了建议,以提高IBD未来QI研究的报告质量.
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