使用系统工程和实施科学来设计一个实施套件,用于手术前综合老年人评估在老年人中进行重大腹部手术:为三阶段研究的协议
Julia R Berian1,2, Margaret L Schwarze1, Nicole E Werner3
1Department of Surgery, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, United States.
JMIR research protocols
|September 9, 2024
概括
本研究协议旨在开发一个可适应的,以用户为中心的手术前综合老年病学评估 (pCGA) 实施方案. 这将通过解决实施障碍和优化术后过程来改善老年人手术护理.
科学领域:
- 老年医学 老年医学
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年人面临更高的术后并发症风险,需要量身定制的手术前护理.
- 推进行手术前综合老年评估 (pCGA),以减轻风险并优化对这一脆弱人群的护理.
- 目前的指南建议PCGA,但有限的实施指南阻碍了广泛采用.
研究的目的:
- 为接受重大腹部手术的老年人设计一个可适应的,以用户为中心的PCGA实施包.
- 解决在各种医疗保健环境中对PCGA实施的战略指导方面的差距.
主要方法:
- 利用系统工程和实现科学框架.
- 采用以用户为中心的设计,涉及医疗保健提供者,患者和护理人员.
- 阶段性方法:流程映射,实施方案的共同设计和试点测试.
主要成果:
- 创建一个详细的PCGA流程地图.
- 开发一个可适应的,以用户为中心的PCGA实施包,用于可行性测试.
- 获取关于实施和有效性的初步试点数据.
结论:
- 该研究协议旨在产生一个优化的PCGA实施包.
- 预期的结果将为未来的多站点试验提供信息,并改善老年手术患者的术后护理.
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