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开发澳大利亚虚拟急救部门的基准指标:德尔菲研究
Timothy J Schultz1,2, Andrew Partington3,2, Pamela Everingham4
1College of Medicine and Public Health, and Flinders Health and Medical Research Institute, Flinders University, Bedford Park, South Australia, Australia timothy.schultz@flinders.edu.au.
Emergency medicine journal : EMJ
|June 8, 2025
概括
这项研究开发了16个虚拟急救部门 (VED) 的质量指标,以指导改进工作. 这些指标通过Delphi研究来改进,旨在提高澳大利亚各地的虚拟紧急护理质量.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 虚拟急诊医学的质量改进缺乏国际标准化的指标.
- 虚拟急诊室 (VED) 提供远程紧急护理,通常与护理人员协商.
- 澳大利亚各州的四个大都会VED协作解决了这个差距.
研究的目的:
- 为虚拟应急部门 (VED) 开发和完善一套质量指标.
- 在VED中建立质量改善活动和基准测试的基础.
- 定义虚拟急诊室护理,以实现一致的应用.
主要方法:
- 用文献综述和采访来确定候选指标.
- 从2022年11月到2023年5月进行了三阶段的Delphi研究,涉及调查和专家审查.
- 通过代反来评估指标的可行性,重要性和精细的定义.
主要成果:
- 提出了一个虚拟急诊室护理的定义.
- 这项研究最终产生了一套16个质量指标.
- 这些指标与已建立的质量框架相匹配,包括医学院质量领域和国家质量论坛远程医疗指标.
结论:
- 在澳大利亚VED服务中,有强烈的支持国家基准测试协作.
- 最终确定的一组16个指标及其定义需要与消费者进一步验证和试点.
- 开发的指标为改善和标准化虚拟紧急护理提供了基础.
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