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质量改进和医疗保健模拟的整合:一个范围审查
Ashleigh Allgood1, Susan Wiltrakis, Marjorie Lee White
1Author Affiliations: Department of Health Services Administration School of Health Professions (Dr Allgood and Dr Hall), Departments of Pediatric and Medical Education, Heersink School of Medicine (Dr White), Departments of Pediatrics, Heersink School of Medicine (Dr Hayes), Departments of Pulmonary and Critical Care, Heersink School of Medicine (Dr Buchalter), Department of Health Services Administration, School of Health Professions(Dr Brown, Hall and Ms Allgood), University of Alabama at Birmingham, Birmingham, Alabama; (Ms Wiltrakis), Division of Emergency Medicine at Washington University in St Louis, St Louis, Missouri.
质量改进 (QI) 和模拟在一起使用时可以增强患者的护理. 这次审查发现,结合这些方法会对患者的安全产生积极影响,尽管需要更多的研究.
科学领域:
- 医疗保健 改善 科学 科学
- 患者安全研究 患者安全研究
- 医疗模拟 医疗模拟
背景情况:
- 质量改进 (QI) 和模拟是提高患者护理的关键策略.
- 对于QI和模拟如何在医疗保健环境中集成的理解有限.
- 这项研究解决了有关QI和模拟的联合使用的知识差距.
研究的目的:
- 探索在医疗保健中同时利用质量改进 (QI) 和模拟.
- 确定这两个学科在已发表的研究中是如何结合在一起的.
主要方法:
- 对2015年至2021年间发表的研究进行了范围审查.
- 在四个主要数据库进行了搜索:CINAHL,Embase,PubMed和Scopus.
- 纳入标准集中在描述合作QI和模拟项目的研究上.
主要成果:
- 18篇文章符合纳入标准,详细介绍了合作的QI和模拟项目.
- 主要应用包括改善患者护理 (28%),教育干预 (17%) 和潜在安全威胁 (LST) 识别 (17%).
- 在61%的研究中观察到模拟和QI的并发集成,其中33%使用了顺序方法.
结论:
- 关于QI和模拟的协同应用的文献有限.
- 结合使用QI和模拟,证明了对患者安全的积极影响.
- 建议系统整合和标准化报告,以推进患者安全研究和实践.
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