快速反应系统,抗生素管理和药物协调:对实施因素,活动和结果进行范围审查
Jonas Torp Ohlsen1,2, Eirik Søfteland3,2, Per Espen Akselsen4
1Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway jonas.torp.ohlsen@helse-bergen.no.
患者安全实践,如药物调和,需要有效的实施策略. 本研究确定了成功采用的关键活动和因素,强调了临床护理中适应性方法的必要性.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 实施科学 实施科学
背景情况:
- 尽管努力提高质量,但患者安全实践往往没有完全融入常规临床护理.
- 实施科学为成功采用患者安全实践提供了有价值的见解.
研究的目的:
- 审查有关实施药物调和,抗生素管理计划和快速反应系统的文献.
- 确定实施活动,影响因素和报告结果.
- 探索支持成功实施的因素和活动的组合,并为未来的研究提供信息.
主要方法:
- 从2011年1月到2023年3月,在六个主要数据库中进行了全面的文献搜索.
- 包括的研究是同行评审的原始研究或质量改进报告.
- 数据被主题分类,使用代式,归纳式方法,然后进行描述性统计和层次集群分析.
主要成果:
- 确定了八个类别的实施活动,包括教育,规划,审计和反,以及患者参与.
- 关键的实施因素包括临床能力,资源,组织参与和外部影响.
- 通常报告的结果包括忠诚度,可持续性,可接受性和传播,尽管大多数研究都专注于总体改善.
结论:
- 目前实施患者安全实践主要使用基于方法的改进科学,仅限于实施科学框架的使用.
- 有一个重要的机会来调整实施活动以适应不断变化的环境,以获得更好的结果.
- 为适应性实施策略制定基于研究的指导意见对于推进实践至关重要.
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