开发一个评分工具的紧急部门的质量说明:一个修改的Delphi方法
Daniel Z Foster1,2, Stuart L Douglas3, Akshay Rajaram4,3
1Department of Family Medicine, Queen's University, Kingston, ON, Canada. daniel.foster@queensu.ca.
CJEM
|April 18, 2025
概括
开发了一种新的工具,即ED笔记质量工具,用于评估急救部门 (ED) 对于较低敏度访问的文档. 这种经过验证的工具旨在改善医学教育和改善ED的质量.
科学领域:
- 紧急医疗 紧急医疗
- 医疗信息学 医疗信息学
- 健康 专业 教育 卫生 专业 教育
背景情况:
- 有效的急诊室 (ED) 文档对于患者护理至关重要,需要标准化的评估工具.
- 评估ED笔记质量的现有工具往往未经验证或表现不佳,阻碍了最佳实践教育.
- 需要一个可靠的工具来评估ED文档的质量,特别是对于较低敏度的患者访问.
研究的目的:
- 开发一个验证的工具来评估急诊室 (ED) 的质量,为年龄在16岁及以上,敏度较低的患者提供注意事项.
- 建立一种标准化的方法来评估ED文档的基本组件和属性.
主要方法:
- 使用了经过修改的Delphi方法,包括两轮电子调查.
- 40名加拿大急诊医生作为专家审查员参加了会议.
- 收集了关于内容元素,属性和评分的反,以导出和完善评估工具.
主要成果:
- 德尔菲轮的响应率分别为44%和47%.
- 关键发现包括普遍和条件文档元素之间的区别以及二进制评分系统的实用性.
- 开发了一个包含八个通用和16个条件元素的工具,其中四个属性以二进制方式得分,并达成共识.
结论:
- 成功开发了"ED笔记质量工具".
- 未来的工作包括验证该工具并完善其评分系统.
- 经过验证的工具有可能用于医疗教育,质量改进计划和紧急部门的数字健康研究.
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