4个步骤到4Ms:一个导航指南,以医院为基础的4Ms护理的综合测量和对结果评估的影响
Benjamin Rosner1, Robert Thombley1, Stephanie Rogers1
1University of California San Francisco, San Francisco, CA, USA.
概括
为年龄友好型卫生系统 (AFHS) 中的4M框架制定一个复杂的综合措施是复杂的. 本研究提供了一份指南和一项拟议的措施,以评估遵守4M护理流程作为一套.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 年龄友好型卫生系统 (AFHS) 运动的基础是4Ms框架.
- 作为一组练习4M的影响的证据有限.
- 需要一个综合测量来评估遵守4M护理流程.
研究的目的:
- 为开发基于医院的4M护理坚持的综合测量提供指南.
- 解决综合措施制定方面的考虑,包括措施类型和同步性.
- 用现实世界的数据来说明这些考虑,并提出一个特定的复合措施.
主要方法:
- 一个四步框架,用于开发一个综合测量住院患者4Ms遵守.
- 综合测量类型 (连续,二分法) 和同步的讨论.
- 使用来自大型学术医院的电子健康记录数据的插图.
主要成果:
- 用现实世界的数据说明了对复合措施开发的考虑.
- 报告了对样本大小和综合测量得分的影响.
- 选择了一个二分化的综合测量:如果遵循所有接触级流程,并且至少在50%的住院日内遵守日/班级流程,则满足4M护理.
结论:
- 为4M框架制定一个综合措施对于推进AFHS至关重要.
- 建议的指南和考虑可以为开发有意义的测量工具提供信息.
- 随着AFHS运动的进展,需要标准化的方法.
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