形成性评估,以告知在急诊室实施败血症包裹的情况
Hannah E Frank1, Nima Sarani2, Jacqueline F Hayes1
1Department of Psychiatry and Human Behavior, the Warren Alpert Medical School of Brown University, Providence, RI.
Annals of emergency medicine
|May 2, 2025
概括
在急救部门实施败血症捆绑面临诸如警报疲劳和人员短缺等挑战. 解决这些障碍是改善败血症护理和减少患者死亡率的关键.
科学领域:
- 医疗实施科学 医疗实施科学
- 紧急医疗 紧急医疗
- 败血症的管理管理.
背景情况:
- 败血症捆绑降低死亡率,但在急诊室的实施情况尚不清楚.
- 探索,准备,实施和维持 (EPIS) 框架指导了这项研究.
研究的目的:
- 确定阻碍和促进美国紧急部门败血症捆绑实施的因素.
- 使用EPIS框架来描述败血症捆绑交付的决定因素.
主要方法:
- 使用定性访谈 (N=66) 和定量调查 (N=86) 进行形成性评估.
- 参与者包括护士,医生和药剂师.
- 用矩阵引导的快速分析方法分析定性数据;用描述性分析定量数据.
主要成果:
- 对基于证据的干预措施的积极看法以及组织对变革的准备.
- 发现的障碍:CMS要求,警报疲劳,人员短缺,流体过载问题.
- 促进者指出:护士驱动的协议,简单的捆绑设计.
结论:
- 需要关注的重点领域:员工流动,实施犹,竞争优先事项和医院文化.
- 结果将为混合有效性-实施试验提供量身定制的实施策略.
- 改善败血症捆绑合规对于减少重症监护室入院和死亡率至关重要.
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