成年住院患者团队的地理分组:一个范围审查
Deanne T Kashiwagi1, Marisha Burden2, Michele McGinnis3
1Division of Hospital Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Journal of hospital medicine
|June 10, 2025
概括
地理分组 (GCh) 将护理团队定位到医院单位. 研究表明,GCh单独或与其他元素一起实施,但其影响需要进一步研究.
科学领域:
- 提供医疗保健的模式.
- 提高医药的质量 提高医药的质量
- 医院的运作 医院的运作
背景情况:
- 地理队列 (GCh) 是一种护理模式,将医生团队定位到特定的医院单位.
- 该模型旨在改善医疗机构内的护理协调和效率.
研究的目的:
- 进行地理协调 (GCh) 干预措施的范围审查.
- 确定GCh研究中测量的目标,实施策略,研究方法和结果.
主要方法:
- 在多个数据库 (PubMed,Embase,Scopus) 中进行了全面的文献搜索.
- 包括和选了报告成人患者GCh干预的研究.
- 数据提取的重点是干预的目标,实施,设计和测量结果.
主要成果:
- 30项代表27项GCh干预的研究符合纳入标准.
- 实施策略各不相同,GCh作为独立干预措施使用或与负责任的护理单位 (ACU) 元素捆绑使用.
- 测量结果涵盖患者结果,安全性,经验,工作流程,临床医生的经验,团队合作和成本.
结论:
- 地理队列是作为独立干预和捆绑护理策略的一部分实施的.
- 目前的文献并未明确GCh实施的程度是否影响结果,或者它在捆绑干预中的具体影响.
- 未来的研究应该采用前性设计来阐明这些方面,并为不同的实践环境优化GC.
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