更多实际上是少:从业人员对沙特阿拉伯急诊室不必要的医疗检测的看法
Atheer F AlSulami1, Mohammed A AlGhamdi2, Amro M Gaafar1
1Emergency Medicine, King Fahad Armed Forces Hospital, Jeddah, SAU.
Cureus
|July 15, 2024
概括
在沙特阿拉伯的急诊室中,医学上不必要的测试,包括无症状患者的CT头部扫描和常规血液检查,是普遍存在的. 对诉讼的恐惧推动了这种过度使用,强调了需要持续教育和更好的员工配置的需要.
科学领域:
- 医疗保健管理的管理
- 医疗成像利用利用方法
- 紧急医疗实践 紧急医疗实践
背景情况:
- 过度使用医疗检测是全球医疗保健的挑战.
- 沙特阿拉伯的医疗保健转型愿景需要解决测试效率低下的问题.
- 在医疗上不必要的测试是急诊室 (ED) 的一个重大问题.
研究的目的:
- 评估沙特阿拉伯ED患者在医学上不必要的测试的患病率.
- 确定医疗检测过度使用背后的原因.
- 探索减少不必要的测试订单的潜在解决方案.
主要方法:
- 在沙特阿拉伯分发给紧急医疗医生 (EMP) 的横截面调查.
- 在线问卷评估订购习惯,认为不必要的测试,以及过度使用的原因.
- 从182个EMP收集的数据来自王国不同地区的不同地区.
主要成果:
- 对无症状中风和创伤性脑损伤 (TBI) 的CT头部扫描最常被过度使用 (44%).
- CT脏-尿道-膀 (KUB) 和全血细胞计 (CBC) /肝转氨酶也经常被过度使用.
- 对医疗法律诉讼的恐惧是不必要测试的主要驱动因素 (70.9%).
结论:
- 过度使用医学测试和成像仍然是沙特EDS的一个重要问题.
- 担心法律后果强烈影响不必要的辅助测试订单.
- 持续教育和增加ED人员是缓解过度使用的关键解决方案.
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