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Healthcare Associated Infections II: Preventive Measures01:22

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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相关实验视频

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儿童创伤护理的基于证据的质量指标

Lynne Moore1,2, Natalie L Yanchar3, Pier-Alexandre Tardif4

  • 1Population Health and Optimal Health Practices Research Unit, Trauma-Emergency-Critical Care Medicine, Centre de Recherche du CHU de Québec-Université Laval (Hôpital de l'Enfant-Jésus), Québec, Québec, Canada.

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一个共识制定了23个儿童创伤护理质量指标 (QI). 这些基于证据的质量指标涉及有效性,安全性和公平性,以改善对受伤儿童的护理.

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科学领域:

  • 儿科创伤护理 儿童创伤护理
  • 提高质量 提高科学 提高质量
  • 医疗保健服务研究 医疗服务研究

背景情况:

  • 儿童创伤患者有独特的需求,但缺乏改善的具体质量指标 (QI).
  • 现有的质量指标可能无法充分解决儿科创伤护理的复杂性.

研究的目的:

  • 建立一套基于共识的QA,用于急性儿科创伤护理.
  • 确保QA是基于证据的,考虑有效性,安全性,成本效益,公平性和护理人员的观点.
  • 开发适用于各种创伤中心设置的QA.

主要方法:

  • 一个修改后的RAND/UCLA专家共识研究,包括调查和虚拟研讨会.
  • 包括多样化的小组成员:儿科创伤专家,各种护理环境,国际代表和护理人员.
  • 分析了41个潜在的质量指标,根据重要性,证据,可操作性和可测量性进行评级.

主要成果:

  • 59名专家参加了会议,54人完成了协商一致的过程.
  • 选择了23个QI,涵盖神经创伤,生命体征,康复,营养,特定伤害 (TBI,骨折,固体器官),成像,以患者为中心的护理和公平.
  • 选择的QA集中在转移协议,文档,早期干预和患者/护理人员支持等领域.

结论:

  • 开发的QI为改善儿科创伤护理质量提供了基础.
  • 这些指标可以提高受伤儿童护理的有效性,安全性,成本效益和公平性.
  • 基于共识的方法确保了在各种高资源创伤环境中的相关性和适用性.