制定实践层面的质量指标,以协助评估澳大利亚选量表的应用:修改后的e-Delphi过程
Wayne Varndell1, Matthew Lutze2, Carrie Janerka3
1Prince of Wales Hospital, Randwick, NSW 2031, Australia; Faculty of Health, University of Technology Sydney, Ultimo, NSW 2007, Australia.
Australasian emergency care
|March 18, 2025
概括
这项研究开发并验证了澳大利亚选量表的18个质量指标,旨在通过持续的质量改进来改善急诊室患者安全和资源配置.
科学领域:
- 紧急医疗 紧急医疗
- 改善医疗保健质量 改善医疗保健质量
- 测量系统的测量系统.
背景情况:
- 鉴定质量对于患者安全和高效的急救部门 (ED) 资源管理至关重要.
- 澳大利亚选量表的现有质量指标缺乏.
- 这项研究解决了对特定分拣质量指标的需求.
研究的目的:
- 开发和验证选实践的质量指标.
- 在澳大利亚背景下建立衡量分拣质量的指标.
- 确定在ED分类中不断提高质量的领域.
主要方法:
- 为了确定潜在的分拣质量指标,进行了全面的文献审查 (2001-2024年).
- 采用了经过修改的Delphi技术,包括与专家小组成员一起进行三轮在线调查.
- 在六个护理质量领域评估了指标的适当性,有效性和可行性.
主要成果:
- 从文献综述中确定了最初的17个质量指标.
- 经过专家小组的反,指标得到了修改,并增加了新的指标.
- 在对选实践的18个 (72%) 验证的质量指标上达成共识.
结论:
- 为澳大利亚实践建立了一套经过验证的分拣质量指标.
- 持续的质量改进对于优化分组,减少患者伤害和最大限度地减少变化至关重要.
- 建议进行进一步的研究,以评估这些指标的实际应用.
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