提供者和护理人员对"泛文化"的看法:创新的诊断管理干预措施的机会
Kevin M Gibas1,2, Leonard A Mermel1,2
1Department of Epidemiology & Infection Prevention, Rhode Island Hospital, Providence, RI, USA.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|November 20, 2024
概括
提供者和护理人员的调查显示,许多临床医生经常要求进行广泛的发烧检查,这有助于过度的诊断测试. 不准确的交付和不同的做法突出了改善诊断管理的目标.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 诊断的管理管理.
- 临床实践模式 临床实践模式
背景情况:
- 评估发烧患者通常涉及广泛的诊断测试.
- 了解提供者和护理人员的做法对于优化诊断测试利用至关重要.
- 过度测试的司机需要识别以提高效率.
研究的目的:
- 检查医疗保健提供者和护理人员在评估发烧患者时的做法.
- 确定导致发烧患者过度使用诊断测试的关键因素.
- 为旨在优化测试订单的诊断管理干预提供信息.
主要方法:
- 对提供者和护理人员进行了前性多选项调查.
- 参与者包括住院病房的医生和护士以及罗德岛医院的急诊部.
- 调查的重点是对发烧性住院患者的评估和交换沟通.
主要成果:
- 很高比例的医疗服务提供者报告说,他们经常订购全面的发烧检查,并对患者进行身体评估.
- 护士认为提供者不太可能对患者进行身体评估,但更有可能订购广泛的炼.
- 报告说,无论临床状况如何,书面交接的准确性不一致,经常遵守交接指令.
结论:
- 提供者和护理人员评估发烧患者的做法有助于诊断测试的使用.
- 不准确的交付和不顾临床需要遵守协议是过度测试的潜在驱动因素.
- 该研究确定了诊断管理干预措施的具体目标,以提高效率并减少不必要的测试.
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