时间延迟和证据概况形成美国外科协会指南的临床建议
Alexander Berg1, Nam Yong Cho2, Kaustav Chattopadhyay3
1Stanford School of Medicine, CA.
Surgery
|November 26, 2024
概括
外科手术指南显示,在证据发布和指南纳入之间存在很大的延迟,大多数证据是低质量的观察性研究. 这影响了当前临床建议的可靠性.
科学领域:
- 医学指导方针 医学指导方针
- 基于证据的医学基于证据的医学.
- 在外科手术实践中.
背景情况:
- 手术协会的指导方针对于传播基于证据的护理至关重要.
- 人们对这些指南中使用的证据的及时性和质量存在担忧.
- 这可能会阻碍人们遵守最新的医学进展.
研究的目的:
- 评估证据发布和其纳入临床指南之间的时间延迟 (出版到指南延迟).
- 在当代外科社会指导方针中描述支持推的证据质量.
主要方法:
- 2015年至2020年间发表的美国外科协会指南的横截面分析.
- 提取和分析了6200个引用的参考资料,为临床建议提供了信息.
- 通过使用统计测试和评审者间可靠性测量,评估发布到指南的延迟和证据质量.
主要成果:
- 观察到出版到指南的中位延迟为9年.
- 大多数证据 (54%) 包含了回顾性观察性研究.
- 只有14%的证据是高质量的,但59%的建议是强有力的.
- 证据质量和建议强度在不同社会存在显著差异.
结论:
- 对外科手术指南中证据的当代性和质量的担忧是有根据的.
- 手术协会必须重新评估他们的证据审查流程.
- 确保指南是最新和可靠的,对于有效的患者护理至关重要.
相关概念视频
01:26Guidelines for Nursing Documentation II
1.0K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.0K
01:11Guidelines for Writing Outcome
2.7K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.7K
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.1K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.1K
01:22Healthcare Associated Infections II: Preventive Measures
2.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.5K