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为严格环境中的设施创建紧急护理能力评估工具
Vijay Christopher Kannan1,2, Geoff Comp2,3, Stephanie Lareau4
1Office of Clinical Performance and Health Impact, Indian Health Service Headquarters, Rockville, MD, USA.
一个新的紧急护理评估工具发现了严格设施中的48个缺陷,突出了改善患者护理的程序准备,人力资源和物资供应方面的需求.
科学领域:
- 紧急医疗 紧急医疗
- 卫生系统评估 卫生系统评估
- 资源管理 资源管理
背景情况:
- 处于严格环境中的设施经常面临超出其能力的患者护理需求.
- 卫生系统规划与远程地区紧急护理的实际现实之间存在差距.
研究的目的:
- 开发和试验一种用于严格环境中的设施的新型紧急护理提供评估工具.
- 在程序,人力资源和物质领域识别设施准备的具体缺陷.
主要方法:
- 开发了一个基于世卫组织紧急护理系统框架的资源矩阵工具.
- 利用已建立的紧急护理课程的不分化临床表现进行评估.
- 在一个偏远的边境诊所驾驶该工具.
主要成果:
- 在四个关键领域共发现了48个缺陷.
- 程序上的缺陷: 7; 人力资源: 1; 非药物材料: 31; 药物材料: 9.
- 缺陷按设施功能和临床表现汇总,以指导干预.
结论:
- 成功创建了一个新的紧急护理能力评估工具,用于严格的环境.
- 该试点在所有评估领域都显示出重大缺陷.
- 该工具对偏远的家庭设施和低至中等收入国家农村卫生站具有潜在的实用性.
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