关于事故后护理的国家研究议程
Craig Goolsby1, Nichole Bosson, Enitan Banjo
1From the Department of Emergency Medicine (C.G., N.B., E.B., N.D.-F., S.S., D.W., A.H.K.), Harbor-UCLA Medical Center, Torrance; Department of Emergency Medicine, David Geffen School of Medicine (C.G., N.B., S.S., D.W., A.H.K.), University of California, Los Angeles, California; The Lundquist Institute (C.G., N.B., E.B., N.D.-F., S.S., D.W., A.H.K.), Torrance; Los Angeles County Emergency Medical Services Agency (N.B., S.S., D.W.), Los Angeles, California; and Department of Surgery (E.B.), University of Washington, Seattle, Washington.
这项研究建立了事故后护理的研究议程,以减少道路死亡人数. 它确定了74个高优先级问题,以改善应急响应和患者的结果,旨在实现零交通死亡.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 创伤护理 创伤护理
背景情况:
- 2021年,交通事故在美国造成了超过42,000人死亡,40%的死亡人数在急救人员到达时还活着.
- 美国运输部的目标是零道路死亡事故,强调改善事故后的护理.
- 这是首个专门针对事故后护理的研究议程,以支持国家零死亡率目标.
研究的目的:
- 为优化事故后护理制定优先级研究议程.
- 确定未来交通事故应急响应研究的重点领域和具体问题.
主要方法:
- 一个经过修改的Delphi过程,涉及27名主题专家,分为四轮.
- 包括主题优先级,问题生成和通过小型和大型小组讨论进行细化.
- 最终在洛杉矶举行了面对面的会议.
主要成果:
- 确定了十个优先主题:系统问题,政策,研究基础设施,新型设备/治疗,复苏,医疗保健差异,车辆技术,安全,医院前医疗技术和劳动力问题.
- 总共完成了74个优先级研究问题.
- 问题涵盖了各种领域,包括通用患者跟踪,改进的分组,冷干燥等离子体的使用,无人机治疗和自动事故通知.
结论:
- 这项研究成功地制定了对事故后护理的高优先级研究议程.
- 该议程为调查人员,专业协会,政策制定者和资助机构提供了路线图.
- 该议程的实施可以为研究和资金优先事项提供信息,以实现零道路死亡事故的目标.
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