在临床风险管理中识别捆绑/护理开发过程:系统性审查
Emanuele Sebastiani1,2, Marina Scacchetti3, Manuele Cesare4
1Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00123 Rome, Italy.
Healthcare (Basel, Switzerland)
|November 27, 2024
概括
本研究确定了如何开发护理包 (BCBs),这是基于证据的干预措施,以改善患者护理和降低死亡率. 需要进一步的研究来优化BCB的发展战略.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 临床风险管理临床风险管理
- 基于证据的实践.
背景情况:
- 护理包 (BCB) 是一系列以证据为基础的干预措施,旨在提高患者护理质量和结果.
- 国际研究证实BCBs在降低发病率和死亡率方面的有效性.
- 虽然卫生保健改进研究所 (IHI) 定义了BCB,但缺乏标准化的开发过程.
研究的目的:
- 在临床风险场景中系统地识别和描述护理包 (BCB) 的开发过程.
- 分析2005年9月至2023年9月期间在BCB开发中使用的方法.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 搜索的数据库包括PubMed,Embase和CINAHL,并通过手动搜索来补充.
- 包括了详细介绍临床风险管理BCB开发流程的研究.
主要成果:
- 在1372项检索的研究中,16项在查后被纳入.
- 确定的BCB开发方法包括IHI指南,专家共识,国际指南和流程图.
- 常见的临床风险包括呼吸器相关的肺炎,手术部位感染,导管相关的感染和败血症.
结论:
- 该研究概述了开发基于证据的护理包 (BCB) 的有效方法.
- 医疗健康中心 (BCB) 促进医疗保健团队内的合规监测.
- 一个显著的局限性是研究BCB开发方法的稀缺性,需要进一步的研究来优化干预策略.
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