在儿科重症监护病房进行全国性查:质量改进倡议
Bronagh Blackwood1, Leanne M Aitken2, Jennie Craske3
1Wellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast, UK.
现在,在64%的英国和爱尔兰PICU中,使用经过验证的工具实施了儿科 Delirium 查. 这项国家战略旨在更早地检测和治疗重症儿童的妄想症.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 临床实践指南 临床实践指南
- 医疗保健实施科学 医疗保健实施科学
背景情况:
- 儿科狂妄症在全球范围内影响着三分之一的重症监护儿童.
- 国际指导方针建议对儿科狂妄症进行例行查.
- 目前英国和爱尔兰的做法包括在有限的验证仪器使用下进行疑似妄想评估.
研究的目的:
- 在英国和爱尔兰28个儿科重症监护病房 (PICU) 实施国家 Delirium查战略.
- 在国家数据库中建立标准化妄想监测.
主要方法:
- 审查和排名七个经过验证的儿科 Delirium 查仪器.
- 在一个共同的查工具上达成了全国共识.
- 开发和传播用于实施的培训材料.
- 集成狂妄症数据收集到儿科重症监测网络中.
主要成果:
- 康奈尔儿科狂妄症评估和索菲亚观察戒断症状-儿科狂妄症量表是排名第一的工具.
- 在28个PICU中,有18个 (64%) 在2023年3月之前成功实施了查.
- 全国狂妄症数据收集始于2024年1月.
结论:
- 该倡议成功地概述了在PICU中实施和维持痴呆症查的关键步骤.
- 为临床医生提供了经过验证的查工具,培训和基础设施支持.
- 嵌入和维持查实践仍然是一个持续的挑战.
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