开发一种工具来测量可能不适当的医院间转移 (IHT):POINT研究
Stephanie K Mueller1,2, Caitlin Kelly3, Stephanie Singleton1
1Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Journal of general internal medicine
|March 27, 2025
概括
识别不需要医院间转移 (IHT) 的患者可以防止不适当的护理. 该POINT研究开发了一个标准化的过程,以识别潜在的不适当的IHT并改善患者的治疗结果.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 医疗服务研究 医疗服务研究
背景情况:
- 医院间转移 (IHT) 旨在与患者的需求相匹配,提供适当的护理,但实践不同,有可能导致护理中断.
- 识别不太可能从IHT中受益的患者对于预防不良结果和优化资源配置至关重要.
研究的目的:
- 通过利益相关者的共识来定义"潜在不适当的IHT".
- 开发和验证一个标准化的裁决过程,以识别潜在的不合适的IHT.
- 为评估这些转移的发生率和患者安全影响奠定基础.
主要方法:
- 开展了利益相关者聚焦小组,以建立潜在不适当的IHT的共识定义.
- 开发了一个基于共识定义的判断工具,用于追溯图表审查.
- 实施严格的评审员培训,以确保流程的可靠性和一致性.
主要成果:
- 建立了潜在不合适的IHT的共识定义.
- 开发和完善了标准化的裁决工具和培训协议.
- 在POINT研究的最初两年中,重点是创建一种可靠的方法来捕获可能不合适的IHT.
结论:
- 开发的裁决程序已经准备好在18个医院站点进行更广泛的实施.
- 未来的工作将涉及1800个转移案件的裁决,以了解潜在不适当的IHT的流行率和风险因素.
- 这项研究将提供关于不适当的医院间转移对患者安全的影响的基础数据.
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