为处于早期发展阶段的系统建立一个医院前紧急护理系统评估工具 (PECSET) 的核心元素:德尔菲共识
Gayathri Devi Nadarajan1, Pin Pin Pek1,2, Audrey L Blewer2,3
1Department of Emergency Medicine, Singapore General Hospital, Singapore, Singapore.
Prehospital emergency care
|December 19, 2024
概括
专家们确定了12个关键要素,用于在亚洲低资源环境中开发医院前紧急护理 (PEC) 系统. 这些发现将指导创建一个质量保证工具,以改善紧急医疗服务.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
背景情况:
- 国际医院前紧急护理 (PEC) 标准通常是为高资源环境而设计的,这给亚洲开发PEC系统带来了挑战.
- 许多亚洲PEC系统处于早期发展阶段,并努力满足现有的国际标准.
- 对于一个评估工具来定义可实现的PEC系统在低资源环境中的基本构建块,这是非常必要的.
研究的目的:
- 确定医院前紧急护理系统评估工具 (PECSET) 的核心,基本要素.
- 为PEC系统建立基础构建块,专门为亚洲的低资源环境量身定制.
- 引导制定一个实际的评估框架,以提高资源有限的地区的PEC质量.
主要方法:
- 一个四阶段修改的德尔菲共识方法,涉及来自12个亚洲国家的32名医院前急救专家.
- 基于网络的匿名投票对32个元素进行投票,随后进行面对面的讨论以评估重要性,可行性和优先级.
- 专家讨论的专题分析,以了解元素优先级的背后的逻辑.
主要成果:
- 确定了12个核心元素:调度辅助指令,查/分离/目的地协议,医疗指导,标准化培训,救护车最低标准,运营指标,质量保证,运营安全协议,患者护理文件,医疗记录管理,非专业人士教育和通用紧急号码.
- 该工具包含了所有32个元素,分为阶级方法 (早期,中级,高级PEC系统) 的类别.
- 优先考虑的重点是基础基础设施和在资源有限的系统中建立弹性.
结论:
- 德尔菲的共识过程成功地确定了在低资源环境中医院前紧急护理系统的核心元素.
- 鉴定出来的元素将为在南亚和东南亚的PEC系统开发质量保证和监测工具提供信息.
- 该倡议旨在提高资源有限的亚洲国家紧急医疗护理的质量和可访问性.
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