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利用组织间网络扩大败血症恢复计划:通过应用"在实施过程中为干预灵活性做出最佳决策" (MODIFI) 方法的结果
Cheyenne R Wagi1, Marc A Kowalkowski2, Stephanie P Taylor3
1Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA. cwagi@wakehealth.edu.
败血症过渡和恢复 (STAR) 计划是根据MODIFI方法适应各种医院的. 这种调整旨在改善败血症幸存者的结果,并促进不同医疗机构的计划扩展.
科学领域:
- 医疗保健 实施 科学 科学
- 患者在护理中的转变
- 败血症幸存者 恢复 恢复
背景情况:
- 败血症每年影响近200万美国成年人,幸存者经历了严重的出院后并发症.
- 在败血症幸存者中,再入院和死亡率仍然很高.
- 败血症过渡和恢复 (STAR) 计划改善了结果,但需要适应各种医院环境.
研究的目的:
- 调整STAR计划以在具有不同特点的医院中实施.
- 确保STAR计划在不同医疗环境中的有效性和可扩展性.
主要方法:
- 采用了"在实施过程中进行干预灵活性最佳决策" (MODIFI) 方法.
- 通过采访关键告密者 (n=7) 确定了STAR的核心功能.
- 通过采访与四个不同医院的临床医生和领导人确定了必要的适应 (n=7).
主要成果:
- 星星的11个核心功能是由网络理论所支的,专注于信息流.
- 调整涉及确定联系点,沟通偏好和赢得支持的策略.
- 根据已识别的适应情况,为每个参与医院开发了定制的STAR协议.
结论:
- 修改方法促进了STAR计划的适应,使其能够成功扩展到各种医院环境中.
- 适应对于确保该计划在各种临床环境中的有效性至关重要.
- 未来的研究将评估在不同医院适应的STAR计划的实施和有效性.
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