对暴露于阿片类药物的婴儿的医院质量指标:专家共识小组的结果
Jordan M Harrison1, Bradley D Stein1,2, Sarah F Loch3
1RAND Corporation, Pittsburgh, Pennsylvania.
Pediatrics
|June 10, 2024
概括
专家们达成共识,对暴露于阿片类药物的婴儿医院护理的36个质量指标达成共识. 这些指标侧重于查,员工培训,评估和改善婴儿护理的干预措施.
科学领域:
- 新生儿护理 新生儿护理
- 公共卫生 公共卫生
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 暴露于阿片类药物的婴儿面临着独特的健康挑战.
- 需要标准化质量指标,以确保这些婴儿的最佳医院护理.
研究的目的:
- 为了实现专家对阿片类药物暴露婴儿医院护理质量指标的共识.
- 确定改善护理质量和患者结果的关键领域.
主要方法:
- 使用ExpertLens在线平台进行了3轮修改后的Delphi面板.
- 32名专家,包括医疗保健提供者和正在康复的父母,对49个候选指标进行了评价.
- 使用RAND/UCLA适当性方法来衡量共识.
主要成果:
- 36个质量指标在重要性和可行性方面获得了很高的评分.
- 专家们就普遍查,员工培训,标准化评估,非药物干预和护理过渡的指标达成一致.
- 过程和结果指标的可行性取决于电子健康记录文档.
结论:
- 在对暴露于阿片类药物的婴儿医院护理的基本质量指标达成共识.
- 这些指标可以支持国家基准测试,干预研究和医院绩效测量.
- 建议制定综合措施,以提供对医院质量的全面了解.
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