开发和有效性测试矩阵来评估临床途径的成熟度:加拿大萨斯喀彻温州的一个案例研究
Crystal Lynn Larson1, Jason Robert Vanstone1, Taysa-Rhea Mise1
1Clinical Excellence, Saskatchewan Health Authority, Regina, SK, Canada.
BMC health services research
|July 9, 2024
概括
一个新的临床途径成熟度矩阵有助于评估和改进医疗保健途径. 慢性疼痛途径需要加强所有权,绩效管理,基础设施和文化,以更好地实施.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 学习健康系统利用数据驱动的方法进行持续改进.
- 临床途径标准化护理,提高医疗保健质量.
- 评估临床途径成熟度对于开发和实施至关重要.
研究的目的:
- 开发一个临床途径成熟度评估矩阵.
- 评估矩阵的内容和面对的有效性.
- 告知途径开发和卫生系统决策.
主要方法:
- 代的基于共识的流程与不同的利益相关者.
- 从患者合作伙伴,政策制定者,临床医生和智商专家收集反.
- 在试点区域,对慢性疼痛途径 (CPP) 进行了测试.
主要成果:
- 一个带有5个启用器,20个子启用器和3个轨迹定义的矩阵被最终确定.
- 在CPP得分为15/40,表明到期时间较低.
- 需要改进的关键领域包括所有权和执行者 (0/?) 和绩效管理 (0/?) 支持者. 支持者.
结论:
- 开发和验证了一种临床途径成熟度矩阵.
- 该工具评估了临床途径的开发,实施和准备情况.
- 该矩阵可以随着时间的推移跟踪路径修订和改进.
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