作为瘤学视频光镜的基于证据的实践工具,DIGEST的临床实施:为期六年的单一机构实施评估
Katherine A Hutcheson1,2, Ella F Aldridge3, Carla L Warneke4
1Department of Head & Neck Surgery, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Unit 1445, Houston, Texas, 77030-4009, US. karnold@mdanderson.org.
Dysphagia
|June 27, 2024
概括
吞毒性动态度 (DIGEST) 工具在癌症中心成功实施,在临床实践中显示出高度采用和准确性. 这种基于证据的实践工具证明了在瘤学中广泛使用吞评估的可行性.
科学领域:
- 在瘤学瘤学.
- 临床实践 临床实践
- 吞障碍 吞障碍 吞障碍
背景情况:
- 基于证据的实践 (EBP) 工具的临床实施在医疗保健中至关重要.
- 吞毒性的动态等级 (DIGEST) 是一种EBP工具,用于头部和部 (H&N) 瘤学的视频光学.
- 评估DIGEST在现实实践中的可行性和可靠性至关重要.
研究的目的:
- 检查DIGEST工具临床实施的可行性.
- 评估国家综合癌症中心的DIGEST采用的忠实性.
- 评估DIGEST报告和电子健康记录 (EHR) 的准确性.
主要方法:
- 使用STARI框架进行后续实施评估.
- 查询EHR数据库,从2016-2021年开始对修改的吞虫 (MBS) 研究进行查询.
- 通过DIGEST在EHR中报告可行性,并根据决策树逻辑 (PAS,残留物,S和E等级) 准确度测量可行性.
主要成果:
- 在6年内,MBS所有考试中的93% (12,137/13,088) 报告了DIGEST.
- 采用率达到99%,不包括全喉切除病例.
- 对于整体DIGEST (1.6%不正确的SE配置文件),DIGEST安全性 (0.4%不正确的PAS) 和DIGEST效率 (1.2%不正确的残留物) 观察到高精度.
结论:
- 在繁忙的瘤环境中,DIGEST的临床实施是可行的,具有高保真度.
- 该工具在不同患者群体和癌症类型中显示了高采用率.
- 除了H&N瘤学之外,需要进一步验证DIGEST的有效性.
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