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为在急诊室诊断出癌症的患者实施一条途径
Kay McCallum1, Clare Jacobs2, Phillipa Johnstone3
1acute oncology, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, England.
概括
实施急诊室 (ED) 怀疑癌症途径改善了癌症转诊治疗时间和癌症患者的专业护士支持. 该倡议旨在减少疑似癌症病例向ED提交的诊断和治疗延迟.
科学领域:
- 在瘤学瘤学.
- 改善医疗保健质量 改善医疗保健质量
- 紧急医疗 紧急医疗
背景情况:
- 在急诊室 (EDs) 怀疑患有癌症的患者经常在转诊到全科医生 (GPs) 获得癌症服务时面临延误.
- 这些延迟可能会妨碍及时提供专家支持,确认诊断和启动癌症治疗.
- 目前的转诊途径可能无法充分满足向ED提交的癌症患者的紧急需求.
研究的目的:
- 评估新的ED疑似癌症诊断途径对患者护理的影响.
- 评估转诊治疗时间和获得专业瘤支持的改善情况.
- 减少ED环境中怀疑患有癌症的患者的诊断和治疗延迟.
主要方法:
- 通过急性瘤学服务实施专门的ED疑似癌症诊断途径.
- 2023年4月,Pathway在牛津大学医院NHS基金会信托中心的两个急诊室推出.
- 在实施途径的第一年收集和分析患者结果的数据.
主要成果:
- 符合英格兰NHS62天转诊治疗标准的患者数量显著增加.
- 增加了从急性瘤学名为癌症的临床护士专家获得支持的患者数量.
- 及时获得癌症服务和专业护理的改善.
结论:
- ED疑似癌症诊断途径成功改善了癌症护理的关键绩效指标.
- 该倡议通过促进更快地获得诊断和治疗来改善患者的旅程.
- 持续监测和完善该途径对于持续改善癌症患者的结果至关重要.
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