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医院临床实践指南:全球分析和系统审查
Jonathan P McKercher1, Casey L Peiris1,2, Anne-Marie Hill3
1La Trobe University Academic and Research Collaborative in Health (ARCH), and CERI, Bundoora, VIC, 3086, Australia.
Age and ageing
|July 18, 2024
概括
医院倒闭指南可用,但实施不一致. 建议进行全面的评估和干预,尽管患者参与和教育的明确性仍然是有效预防跌倒的挑战.
科学领域:
- 医疗保健的质量和安全
- 老年医学 老年医学
- 基于证据的实践.
背景情况:
- 医院倒闭是一个重大的全球挑战,影响患者安全和医疗保健资源.
- 现有的临床实践指南对医院倒需要批判性评估,以确保其有效性.
研究的目的:
- 系统地审查和批判性地评估有关医院倒指南的全球文献.
- 评估当前医院倒指南的质量和建议.
主要方法:
- 从1993年到2024年,按照PRISMA指南进行系统审查,搜索多个数据库 (例如MEDLINE,Embase,CINAHL).
- 使用研究和评估指南评估 (AGREE) 工具 (AGREE-REX) 进行质量评估,并使用GRADE评估证据的确定性.
- 从包含的指导方针中对数据进行主题综合.
主要成果:
- 包括20个医院跌倒指南,其中10个显示出高质量.
- 关键发现包括对入院倒风险查 (没有得分工具) 的混合支持,对老年/脆弱患者的全面评估的建议,以及对干预措施的一致支持.
- 在患者参与和实施方面发现了显著的差距,在员工/患者教育,痴呆症/痴呆症管理和摔倒记录方面发现了障碍.
结论:
- 基于证据的医院倒指南存在,但它们的系统实施是有限的.
- 对于不同的医院患者群体,需要采取综合和一致的防摔方法.
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