一个德尔菲过程来定义紧急外科途径的医疗报告结果
Thomas Botrel1, Paul S Myles2, Emmanuel Futier3
1Sorbonne University, GRC 29, AP-HP, DMU DREAM, Department of Anesthesiology and Critical Care, Pitié-Salpêtrière Hospital, 43-87 Bd de l'Hôpital, 75013, Paris, France.
Anaesthesia, critical care & pain medicine
|April 27, 2025
概括
这项研究确定了29个标准化结果,用于评估紧急手术护理的质量. 这些指标旨在改善跨研究的比较,并为新的医疗保健优先级政策提供信息.
科学领域:
- 医疗保健质量评估 医疗保健质量评估
- 手术结果研究研究.
- 医疗信息学 医疗信息学
背景情况:
- 对高质量的医疗保健日益增长的需求需要标准化的医院护理评估方法.
- 目前缺乏标准化,这阻碍了跨研究的紧急手术结果的比较.
- 使用修改后的Delphi方法来定义紧急外科护理的基本报告结果.
研究的目的:
- 建立一个以共识为导向的结果集,用于评估紧急外科护理.
- 解决在比较紧急外科手术结果时需要标准化指标的需求.
- 为制定紧急手术的新优先级政策提供信息.
主要方法:
- 一个三轮修改的Delphi过程,涉及一个国际医学外科专家小组 (2024年5月至10月).
- 基于两级共识评估的紧急外科途径报告结果的选择.
- 包括来自16个国家的专家,以确保全球视角.
主要成果:
- 最初8个标题的87个项目被改进为29个选定的结果.
- 关键结果包括死亡率,术后发病率和患者旅程因素 (术前,术后,术后).
- 患者满意度和医疗经济标准被排除在外;多标准的结果被认为是必不可少的.
结论:
- 一套29个标准化结果提供了一个全面的方法来评估紧急的外科护理.
- 这些结果有助于更好地研究紧急手术的结果,并制定优先级政策.
- 值得注意的是,经济标准和患者满意度指标在最终结果中没有保留.
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