在不列颠哥伦比亚省实施手术前优化:质量改善倡议
Micheline Metzner1, Kelly Mayson2,3,4, Geoff Schierbeck5
1Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
|November 19, 2024
概括
在加拿大不列颠哥伦比亚省实施了手术患者优化计划,95%的查患者接受了干预. 需要进一步的研究来证实对临床结果的影响.
科学领域:
- 在外科手术期间的医学.
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 手术患者优化是一个主动的策略,以提高术后的结果.
- 加拿大不列颠哥伦比亚省的外科患者优化协作 (SPOC) 旨在标准化手术前优化.
- 该倡议支持对13个已确定的外科手术风险因素实施基于证据的干预措施.
研究的目的:
- 审查SPOC倡议的发展和实施情况.
- 评估一个多中心手术前优化计划的可行性和覆盖范围.
- 识别手术患者优化实施的障碍和促进因素.
主要方法:
- SPOC通过使用"变革包"在两个队列 (2019-2024) 中促进了优化计划.
- 该包包括用于查,干预和测量13个风险因素的工具.
- 每月收集患者数量,结果和患者报告的措施数据;运行图表分析进展.
主要成果:
- 每个队列有14个地点参与,对9686名患者进行查,其中95%接受了至少一次干预.
- 运行图表表明,在两个队伍中查率有所改善.
- 虽然大多数患者报告了改善的外科经验,但临床结果数据报告不一致,排除了分析.
结论:
- 在不列颠哥伦比亚省的多个地点成功实施了手术前优化计划.
- 需要高质量的临床结果数据来最终评估手术前优化的影响.
- 从SPOC实施中吸取的经验教训可以指导未来的多中心优化工作.
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