经期手术患者安全指标 - - 德尔菲研究
Anette Nyberg1,2, Maria Jirwe3,4, Ami Fagerdahl5
1Department of Nursing, Umeå University, Umeå, Sweden.
这项研究使用修改后的Delphi方法在73个术后患者安全指标上达成共识. 关键领域包括手术安全检查清单和优化手术室环境,以改善患者护理.
科学领域:
- 医疗保健的质量和安全
- 手术护理 医疗护理
- 患者的治疗结果.
背景情况:
- 确保手术室患者的安全是一个全球性的挑战,尽管正在努力减少可避免的伤害,但仍存在持续的外科并发症.
- 制定标准化指标对于评估和改进术后护理流程和患者安全结果至关重要.
研究的目的:
- 在瑞典医疗保健环境中,确定,定义并就术前患者安全指标达成共识.
- 建立一个结构化的框架来评估外科手术期间的护理,并提高手术环境中的患者安全.
主要方法:
- 采用了经过修改的Delphi方法,涉及22名经验丰富的手术室护士专家.
- 使用了基于先前研究的问卷,专家通过在线调查 (2022年11月至2023年4月) 评价声明的重要性.
- 报告遵循了关于进行和报告Delphi研究的指南 (CREDES) 清单.
主要成果:
- 在三轮德尔菲会议中,在103个声明中73个达成共识.
- 共识指标包括74%的过程指标和26%的结构指标.
- 协议的关键领域包括使用外科手术安全检查清单和优化手术室环境.
结论:
- 关于外科手术期间安全指标的共识凸显了手术室患者安全的复杂性.
- 结构和过程指标的平衡整合对于全面的安全评估至关重要.
- 该研究为临床应用提供了实际指导和共识领域,以提高外科手术期间患者的安全性,强调技能,存在,沟通和团队合作.
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