紧急医疗服务 (EMS) 临床医生对儿科观察优先分数 (POPS) 的看法
Caleb E Ward1,2, Daniel X Zhang1, Judith Singletary3
1Department of Pediatrics, Division of Emergency Medicine, Children's National Hospital, Washington, District of Columbia.
Prehospital emergency care
|March 7, 2025
概括
美国紧急医疗服务 (EMS) 的临床医生发现儿科观察优先分数 (POPS) 是可接受的,适当的,并且可用于分类. 这种工具可以帮助识别没有突发需求的儿童,提高EMS的效率.
科学领域:
- 紧急医疗 紧急医疗
- 儿科临床检测试验 (Pediatric Triage) 是一项针对儿童的临床试验.
- 医疗保健信息学 医疗保健信息学
背景情况:
- 在美国,许多被紧急医疗服务 (EMS) 评估的儿童缺乏紧急需求.
- 缺乏有效的选工具来识别低风险儿科患者的替代处置.
- 儿科观察优先分数 (POPS) 是英国使用的经过验证的分拣工具,但尚未在美国进行评估.
研究的目的:
- 在美国EMS临床医生中确定儿科观察优先分数 (POPS) 的可接受性,适当性和可行性.
- 评估在美国医院前环境中实施POPS的可用性和潜在障碍和促进者.
主要方法:
- 这是一项混合方法研究,涉及美国100名EMS临床医生 (护理人员和EMT).
- 参与者完成了一项调查,通过验证的可接受性,适当性和可行性的措施来评估POPS.
- 认知面试与一小部分参与者进行,以探索认知和确定实施因素.
主要成果:
- 美国EMS临床医生在接受性,适当性和可行性方面高度评价POPS (平均得分为4.4-4.6).
- 采访揭示了易用性和POPS作为有用的附加工具的主题.
- 识别的促进者包括系统集成和协议结合;障碍包括文档阻力和法律问题.
结论:
- 对于美国医院前使用,POPS被认为是可以接受的,适当的和可行的,只需稍微修改.
- 在广泛实施之前,需要进一步的研究来评估POPS在受控和现场环境中的准确应用.
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