优化病房巡回:系统审查和对加强患者安全的干预措施的元分析
Ellie C Treloar1, Jesse D Ey1, Matheesha Herath1
1Department of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Woodville, South Australia, Australia.
The British journal of surgery
|April 9, 2025
概括
病房巡视的检查清单干预措施可以改善文档,减少ICU停留时间,而不会增加停留时间. 这一系统性审查综合了证据,以指导理想的病房周围实践.
科学领域:
- 改善医疗保健 改善医疗保健
- 临床过程优化临床过程优化
- 患者研究成果研究结果
背景情况:
- 质量差的病房巡回导致患者并发症,延迟出院,增加医院费用.
- 系统性审查以评估改善病房周围流程和患者结果的干预措施.
研究的目的:
- 系统地审查和综合有关旨在提高病房周围有效性的干预措施的证据.
- 确定改善患者和基于过程的结果的干预措施.
主要方法:
- 在PROSPERO注册的系统审查 (CRD42023394325).
- 在MEDLINE,Embase,Emcare和PsycInfo搜索相关研究.
- 干预被归类为检查清单,结构或其他;通过元分析和偏见风险工具评估结果.
主要成果:
- 包括23个专业领域的84项研究,涉及43570名患者.
- 检查清单干预措施减少了ICU停留时间,改善了文档.
- 结构性干预措施对患者住院时间或再入院率没有显著影响.
结论:
- 这是关于病房周围干预措施的第一个有系统的综述和元分析.
- 调查结果可以为优化"理想病房周围"的指导方针提供信息.
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