从全球角度来看,儿童毒症的质量改善计划从全球角度来看
Daniela C de Souza1, Raina Paul2, Rebeca Mozun3
1Latin American Sepsis Institute, São Paulo, Brazil; Pediatric Intensive Care Unit, Hospital Universitário da Universidade de São Paulo, São Paulo, Brazil; Pediatric Intensive Care Unit, Hospital Sírio Libanês, São Paulo, Brazil.
The Lancet. Child & adolescent health
|August 14, 2024
概括
提高儿科败血症护理质量至关重要. 全球努力需要综合性计划,解决整个患者旅程,从预防到幸存者支持,以减少儿童死亡率.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 全球公共卫生全球公共卫生
- 质量改进科学 质量改进科学
背景情况:
- 败血症在全球显著影响儿童健康结果,其特点是宿主反应失调导致器官衰竭.
- 儿童对败血症具有独特的脆弱性,使其成为具有高发病率,死亡率和社会成本的关键全球卫生优先事项.
- 尽管有2017年世卫组织决议,但很少有国家实施了针对败血症的系统性,以儿科为重点的质量改善计划.
研究的目的:
- 检查儿童败血症质量改善计划的成功和障碍.
- 强调需要全面的程序设计,包括整个患者旅程.
- 概述全球质量改善的实施策略和基准测试措施.
主要方法:
- 对儿科败血症现有质量改善计划的审查.
- 对成功的分析和实施的系统障碍.
- 确定全面计划设计的关键组件.
主要成果:
- 现有的质量改进计划往往缺乏全面的方法,无法解决整个患者连续性.
- 系统性障碍阻碍了有效的儿科败血症质量改善举措的广泛实施.
- 成功的计划需要整合预防,护理人员意识,早期识别,医疗保健工作人员教育,系统开发和长期幸存者支持.
结论:
- 改善儿科败血症的质量需要以患者为中心的方法,整合从预防到长期护理的所有阶段.
- 全球学习平台对于加速和标准化全球儿科败血症的质量改善工作至关重要.
- 加强全球合作和系统实施战略对于减少儿科败血症的负担至关重要.
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