在急诊室中急性中毒的护理敏感质量指标的构建:e-Delphi研究
1Nursing Department, Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Journal of advanced nursing
|June 14, 2024
概括
这项研究开发了护理敏感的质量指标,用于急诊室急性中毒护理. 这些指标旨在在中国和全球范围内标准化护理和提高患者安全.
科学领域:
- 护理质量指标护理质量指标
- 紧急医疗 紧急医疗
- 毒理学 毒理学 毒理学
背景情况:
- 缺乏标准化的护理质量评估工具,用于紧急部门急性中毒.
- 临床实践的变化需要开发客观的质量指标.
- 急性中毒在紧急护理环境中是一个重大挑战.
研究的目的:
- 开发和验证一套护理敏感的质量指标,用于紧急部门的急性中毒管理.
- 在专家之间就这些指标的定义,计算和数据收集建立共识.
- 为护理管理人员提供一个实用的工具,以监测和提高急性中毒患者的护理质量.
主要方法:
- 一项两轮电子Delphi (e-Delphi) 研究,涉及中国的19家高等医院.
- 文献审查以确定潜在的指标,然后在5分利克特级别上进行专家评级.
- 用于确定指标权重的分析层次过程,通过专家反达成共识.
主要成果:
- 在指标的定义,计算公式和数据收集方法上达成共识.
- 针对急诊室急性中毒的3个初级和11个次级护理敏感质量指标的最终一组已建立.
- 开发的指标具有敏感性,实用性,并且与临床实践密切相关.
结论:
- 针对中国环境,成功开发了一套针对急性中毒护理的综合护理敏感质量指标.
- 这些指标为护理管理人员提供了一个标准化的评估工具,促进一致和安全的患者护理.
- 这些指标有可能在全球其他医疗保健系统中进行适应和实施.
更多相关视频
相关概念视频
Prevention of Further Absorption of Poison
816
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
816
Enhanced Elimination of Poison
498
Poison can be effectively removed from the gastrointestinal (GI) tract through various decontamination procedures.
Antidotes serve a crucial role in counteracting the effects of poison by inhibiting enzymes responsible for producing harmful drug metabolites. In some cases, these toxic metabolites can be neutralized by endogenous cosubstrates, which are maintained at specific concentrations to prevent interaction with cellular macromolecules and subsequent cell death.
Renal excretion is the...
Antidotes serve a crucial role in counteracting the effects of poison by inhibiting enzymes responsible for producing harmful drug metabolites. In some cases, these toxic metabolites can be neutralized by endogenous cosubstrates, which are maintained at specific concentrations to prevent interaction with cellular macromolecules and subsequent cell death.
Renal excretion is the...
498
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.2K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.2K
Antidotes
626
Antidotes are medicinal substances used to counteract the harmful effects of toxins or drugs in the body. They function in various ways, each uniquely designed to combat specific toxic compounds.
Specific antidotes operate by inhibiting the enzymes that control biochemical pathways, reducing the production of harmful metabolites.
An example of an antidote is atropine, which counteracts the detrimental effects of cholinesterase inhibitors. It achieves this by deactivating muscarinic receptors,...
Specific antidotes operate by inhibiting the enzymes that control biochemical pathways, reducing the production of harmful metabolites.
An example of an antidote is atropine, which counteracts the detrimental effects of cholinesterase inhibitors. It achieves this by deactivating muscarinic receptors,...
626
Nursing Clinical Information System
765
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
765
Anticholinesterase Agents: Poisoning and Treatment
845
Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
845


