临床途径在急诊室的使用:一个范围审查
Innocent Tawanda Mudzingwa1, Sarah Jane Prior2, Phoebe Griffin3
1Tasmanian School of Medicine, University of Tasmania, Hobart, TAS, Australia.
临床途径 (CPWs) 提高急诊室 (ED) 的效率和患者的治疗结果. 成功实施需要广泛的临床医生参与和多学科团队参与,以获得最佳的结果.
科学领域:
- 医疗保健管理的管理
- 临床实践指南 临床实践指南
- 紧急医疗 紧急医疗
背景情况:
- 临床途径 (CPW) 是标准化的,基于证据的管理计划,旨在提高医疗保健的效率和有效性.
- 它们在急诊室 (ED) 的应用旨在优化患者的护理服务.
研究的目的:
- 识别和总结有关ED环境中CPW的使用现有证据.
- 了解与ED中CPW实施相关的患者报告和组织结果.
- 识别阻碍CPW在紧急护理中有效使用的障碍.
主要方法:
- 在主要的学术数据库 (Scopus,Embase,Emcare,PubMed) 进行了全面的文献搜索.
- 搜索策略遵循了阿克西和奥马利的框架.
- 根据PRISMA扩展范围审查检查清单报告了结果,包括对CPW实践和活动的定性或定量经验数据的研究.
主要成果:
- 64篇文章被纳入了这个范围审查.
- 确定的主要结果包括改善治疗变化和质量,资源利用和治疗时间.
- 障碍被分为组织环境因素,医疗保健专业相关因素和CPW运营问题.
结论:
- 在ED中,CPW的实施产生了显著的积极患者和组织成果.
- 没有单一的战略可以保证CPW的成功实施;然而,广泛的临床医生参与和多学科团队参与对于提高途径可见性和采用至关重要.
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