紧急诊所医生使用成人和儿科败血症途径:使用行为改变轮的实施重新设计
Belinda Munroe1,2, Michelle Hudoba3, Mary Fullick4
1Emergency Services, Illawarra Shoalhaven Local Health District, Warrawong, Australia.
在急救部门实施败血症途径需要量身定制的策略来克服已识别的障碍和促进者. 优化途径的使用可以改善败血症的识别和患者的结果.
科学领域:
- 紧急医疗 紧急医疗
- 定性研究是指质量研究.
- 实施科学 实施科学
背景情况:
- 在急诊室 (ED) 实施败血症途径是复杂的.
- 优化临床医生的使用对于有效的败血症管理至关重要.
研究的目的:
- 确定紧急诊所医生使用成人和儿科败血症通路的促进者和障碍.
- 定制实施策略以优化路径的采用.
主要方法:
- 使用焦点小组与急诊护士和医疗官员进行定性描述性研究.
- 使用理论领域框架分析促进者和障碍者.
- 干预选择以行为变化轮为指导.
主要成果:
- 在11个理论领域框架领域中确定了32个促进者和58个障碍.
- 量身定制的战略包括教育改进,EMR修改,审计/反,人员配置和资源分配.
- 制定了一项重新实施计划.
结论:
- 败血症途径的实施是多方面的,需要量身定制的战略.
- 基于理论的方法可以成功地将败血症途径嵌入ED实践中.
- 优化的途径吸收可以提高败血症的识别,管理和患者的结果.
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