临床卓越中心的概念化:一个范围审查
Thoshenthri Kandasamy1, Rachel C Stockley2, Jeroen M Hendriks3,4
1Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia kand0060@flinders.edu.au.
临床卓越中心 (CoCE) 的定义和识别过程缺乏统一性,尽管它们的流行率越来越高. 共同特征包括熟练的员工,高质量的护理和最佳的患者结果.
科学领域:
- 医疗保健管理的管理
- 临床的卓越 临床的卓越
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床卓越中心 (CoCE) 被认可为提供高质量的医疗保健.
- 对COCE的识别和监测流程没有明确定义或一致应用.
- 了解COCE如何建立和评估对于改善医疗保健质量至关重要.
研究的目的:
- 探索描述临床卓越中心 (CoCE) 的文献.
- 确定CoCE的定义特征,选择标准和监测过程.
- 综合关于建立和评估CoCE的当前知识.
主要方法:
- 根据既定的框架进行了范围审查 (Arksey和O'Malley,Levac等). ) 的情况.
- 从2010年1月到2022年6月,在多个数据库 (MEDLINE,PubMed,科学网,CINAHL,Scopus) 进行了文献搜索.
- 包括已出版和灰色文献,详细说明CoCE的定义,建立,监测或评估.
主要成果:
- 分析了50个记录,代表了45个倡议,其中大多数来自美国.
- 倡议主要集中在单一的临床条件,如心血管疾病.
- 虽然大多数倡议都有结构化的流程,但CoCE的定义是不统一的,通常包括患者数量,专业知识,多学科团队,护理质量和患者结果.
结论:
- 在建立,识别,监测和评估临床卓越中心 (CoCE) 方面存在重大不一致.
- 虽然不是普遍适用的,但CoCE的关键特征包括熟练的人员,高质量的护理和优异的患者结果.
- 在定义和评估COCE方面进一步标准化可能会提高医疗保健的质量和可比性.
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