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2024 系统审查基于证据的医院前护理指南
Christian Martin-Gill1, P Daniel Patterson1, Christopher T Richards2
1Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Prehospital emergency care
|October 7, 2024
概括
本次审查评估了自2021年以来发布的33项新的医院前证据基础指南 (EBG). 虽然质量与前几年相似,但指南的适用性仍然是紧急医疗服务 (EMS) 临床医生面临的挑战.
科学领域:
- 医院前护理研究 医院前护理研究
- 基于证据的医学基于证据的医学.
- 临床指南开发 临床指南开发
背景情况:
- 基于证据的指导方针对于将科学知识转化为临床实践至关重要.
- 高质量的EBG对于教育急诊医疗服务 (EMS) 临床医生关于当前医院前护理至关重要.
- 需要对EBG进行系统审查,以评估其质量并确定实施缺陷.
研究的目的:
- 对医院前EBG进行第三次两年一次的系统审查.
- 确定和评估2021年至2023年期间发布的医院前EBG的质量.
- 根据指南质量为EMS人员提供教育策略的信息.
主要方法:
- 系统的文献搜索欧维德·梅德林和EMBASE (2021年1月 - 2023年6月).
- 包括提供医院前临床护理或手术建议的出版物.
- 使用国家医学院 (NAM) 标准的评估和研究和评估指南的评估 (AGREE) II工具.
主要成果:
- 确定了33条新的指导方针,重点关注关键条件,特殊考虑因素和损害.
- 只有21%的人满足了NAM高质量指南的所有标准,包括完整的系统审查报告.
- 根据AGREE II的评估,遵守标准的程度很低,总体质量与之前的审查相似 (平均67%) 和适用性得分很低 (平均53%).
结论:
- 本次审查强调了在医院前指导方针制定中需要改进基于证据的报告.
- 有机会在EMS系统中加强高质量的EBG的实施.
- 准则的发现为EMS人员教育和能力活动提供了目标.
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