绘制决策路径:确定干预入口点,用于疑似严重感染的诊断测试
Raasti Naseem1, Nicola Howe2, Sara Pretorius2
1Health Innovation North East and North Cumbria, England, NE4 5PL, UK.
NIHR open research
|January 24, 2025
概括
PROTECT平台试验将快速评估严重感染的新诊断测试,旨在通过早期识别有风险的人来改善患者护理. 这种方法增强了临床决策,并优化了抗菌药物治疗.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 临床试验中的临床试验.
- 传染病管理 传染病管理
背景情况:
- PROTECT (使用新技术优化抗菌疗法的临床结果的平台随机评估) 倡议将研究人员团结起来,开发一个平台试验.
- 这项试验旨在快速评估和实施新型诊断技术,使患者受益.
- 初步研究为PROTECT平台的设计提供了信息,重点关注严重感染.
研究的目的:
- 设计一个平台试验,用于评估重症感染的多种诊断技术.
- 在危急疾病之前识别患有严重感染恶化风险的患者.
- 评估快速诊断测试与标准护理的临床和成本效益的比较.
主要方法:
- 采用了定性方法和利益相关者商,以确定严重感染管理的重点优先事项.
- 在二级护理中的护理途径分析确定了关键的患者接触点和决策过程.
- 该研究侧重于快速诊断测试的两个主要用例:急诊医学和住院治疗监测.
主要成果:
- 理想的快速诊断测试应该是临床的,价格合理的,用户友好的,并且可以由所有工作人员解释.
- 采用的关键促进因素包括明确的临床需求,而障碍则涉及变化管理和行为转变.
- 确定了快速诊断测试的两个主要应用:指导抗微生物药物启动和监测治疗反应.
结论:
- 新的诊断测试必须证明强大的临床有效性,并加速严重感染的诊断.
- 采用新的测试可以通过改善临床途径,使患者,临床医生和医院受益.
- 诊断技术的成功整合可以导致它们被采用为新的护理标准.
相关概念视频
01:10Documentation of Nursing Diagnosis
1.2K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.2K
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
01:30Pneumonia III: Complications and Assessment
153
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
153
01:18Steps in Outbreak Investigation
105
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
105
01:25Critical Thinking II
2.7K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
2.7K
01:26Pulmonary Tuberculosis IV
132
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
132