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坚持新西兰重大创伤目的地政策:对当前实践的审计
Georgia Gibson1, Bridget Dicker2, Ian Civil3
1Section of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, Waipapa Taumata Rau | The University of Auckland, Auckland, New Zealand.
新西兰新西兰新西兰新西兰
科学领域:
- 创伤护理的护理人员.
- 紧急医疗服务 紧急医疗服务
- 卫生政策 卫生政策
背景情况:
- 新西兰重大创伤目的地政策 (MTDP) 指导紧急医疗服务 (EMS) 运输重大创伤患者.
- 评估遵守这一政策对于优化医院前护理和患者结果至关重要.
研究的目的:
- 评估对重创病例的新西兰重大创伤目的地政策 (MTDP) 的遵守情况.
- 确定在医院前创伤患者的目的地决策中需要改进的领域.
主要方法:
- 在2017年11月至2018年11月期间受伤的100个重大创伤病例 (ISS>12) 的回顾性审计.
- 审查EMS电子病例记录 (ePRF),以确定患者是否被运送到MTDP指定的适当医院.
主要成果:
- 总体上,对MTDP的遵守率为94%.
- 不需要高级创伤中心的患者 (98.9%) 与需要高级创伤中心的患者 (61.5%) 相比,患者的坚持显著更高.
结论:
- 观察到对MTDP的总体遵守率很高.
- 对于需要绕过最近的医院到达高级创伤中心的病例,需要改进.
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