在58个资源可变的儿科瘤医院,在实施阶段记录了对基于证据的干预措施的调整
Alejandra Catalina Quesada-Stoner1, Sayeda Islam2, Amela Siječić3
1Department of Global Pediatric Medicine, St. Jude Children's Research Hospital, TN, Memphis, USA.
Implementation science communications
|November 1, 2024
概括
儿科早期预警系统 (PEWS) 在规划和试点期间进行调整,以提高资源变化的医院的有效性和可持续性. 这些调整有助于基于证据的干预措施适应现实世界的临床环境.
科学领域:
- 实施科学 实施科学
- 儿科瘤学 儿科瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于证据的干预措施 (EBI) 需要适应新环境.
- 儿科早期预警系统 (PEWS) 是用于早期检测儿科癌症患者病情恶化的EBI.
- 适应时间和对PEWS忠实性,有效性和可持续性的影响尚不清楚.
研究的目的:
- 评估拉丁美洲资源可变的儿科瘤医院PEWS的适应情况.
- 确定PEWS实施过程中何时发生调整.
- 了解调整对PEWS忠实性,有效性和可持续性的影响.
主要方法:
- 在Proyecto EVAT (拉丁美洲) 的儿科瘤中心的横截面调查.
- 使用多选项和自由文本问题评估PEWS调整.
- 适应数据的描述性统计和定性分析 (框架).
主要成果:
- 来自19个拉丁美洲国家的58个中心的2,094个回复.
- 大多数适应发生在规划和试点阶段.
- 调整修改了PEWS的内容和背景,被认为可以改善工作流程并解决资源限制.
结论:
- 跨实施阶段的PEWS适应表明了EBI如何适应动态的临床环境.
- 适应是一种在各种资源环境中广泛实施EBI和可持续性的策略.
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