将卡尔加里审计和反框架扩展到虚拟环境:一个过程评估和经验证据
Douglas Woodhouse1,2, Diane Duncan1, Leah Ferrie1
1Physician Learning Program, University of Calgary, Calgary, Canada.
Implementation science communications
|December 19, 2024
概括
卡尔加里审计和反框架 (CAFF) 已成功适应虚拟审计和团体反 (AGF) 会议. 这种方法使医生参与规划实践变革,以减少冗余的实验室测试.
科学领域:
- 改善医疗保健 改善医疗保健
- 医学教育 医学教育
- 医疗保健服务研究 医疗服务研究
背景情况:
- 卡尔加里审计和反框架 (CAFF) 是一种基于证据的方法,用于使用审计和小组反 (AGF) 进行面对面的社会学习干预.
- 作为减少医院冗余日常实验室检测的战略的一部分,CAFF被扩展到虚拟环境中.
- 该倡议评估了将CAFF适应虚拟环境的过程,并评估了医生参与实践变革规划的情况.
研究的目的:
- 描述卡尔加里审计和反框架 (CAFF) 对虚拟审计和集团反 (AGF) 会议的调整.
- 评估在虚拟环境中实施CAFF的过程.
- 评估从虚拟AGF干预中产生的医生参与和实践变革规划.
主要方法:
- 在CAFF的基础上开发了一个创新的,虚拟便利的审计和集团反 (AGF) 干预措施.
- 这项干预是包括个别医生实验室测试利用报告和教育工具在内的一子的一部分.
- 从记录的虚拟AGF会议,会议后的调查和现场笔记中收集数据,并使用描述性统计和CAFF元素进行分析.
主要成果:
- 来自四家医院的83名医生参加了12次虚拟AGF会议.
- 所有CAFF的先决条件活动 (建立关系,选择问题,数据表示) 都是在虚拟会议中完成的.
- 超过90%的受访者认为这些会议有助于实践改进,其中46%完成了改变表格的承诺.
结论:
- 实行忠于CAFF的虚拟AGF会议,有效地让医生参与群体学习和实践变革规划.
- 这些发现支持在医疗保健改进干预中使用虚拟便利化.
- 需要进一步的研究来确认可通用性,并探索基于证据的虚拟便利化技术.
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