关键绩效指标急性间歇性脏替代疗法在重症患者:一个系统性审查的协议
Dawn Opgenorth1, Liza Bialy2, Kristin Robertson3
1Department of Critical Care Medicine, University of Alberta, Edmonton, Alberta, Canada.
BMJ open
|April 18, 2025
概括
本系统性审查确定了危急病患者间歇性置换疗法 (IKRT) 的关键绩效指标 (KPI). 它评估了IKRTKPI改善急性脏替代疗法的证据.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 之前的倡议集中在持续脏替代疗法 (CKRT) 的关键指标上.
- 对于间歇性脏替代疗法 (IKRT) 的关键指标,没有正式的审查.
- 本次审查解决了IKRT绩效测量的证据缺口.
研究的目的:
- 系统地审查和评估关键关键指标的证据,专门用于重症患者的IKRT.
- 为 DIALYZING WISELY 计划提供信息,以改善急性脏替代疗法实践.
- 将重症监护室 (ICU) 的实践与基于证据的IKRT最佳实践相协调.
主要方法:
- 在Ovid MEDLINE,Embase,CINAHL和Cochrane图书馆进行全面的搜索.
- 包括灰色文献,技术报告,指南和相关组织网站.
- 使用修改后的Cochrane工具评估研究偏差,并通过GRADE方法确定证据.
主要成果:
- 对 IKRT 所识别的关键关键指标进行描述性分析.
- 根据重要性,科学可接受性,可用性和可行性评估每个KPI.
- 对运营整合,电子医疗记录兼容性,可采用性和负担能力的KPI的评估.
结论:
- 该审查将为IKRT关键关键指标提供全面的证据基础.
- 结果将指导有效的IKRT绩效措施的选择和实施.
- 通过同行评审的出版物传播,以推进临床实践和研究.
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