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加拿大手术护理的医疗保健优先事项
Kaitlyn Squires1, Mercedes Pilkington1,2,3, Louise Clément4
1From the University of Calgary, EQuIS Research Platform, Calgary, Alberta, Canada.
概括
改善外科安全需要发展超越临床指标的优先事项. 本综述审查了加拿大战略,重点关注效率,获取,公平和以患者为中心的护理,以改善患者的治疗结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 改善外科手术的质量
- 医疗保健政策 医疗保健政策
背景情况:
- 手术疾病带来了巨大的成本和发病率,通过有针对性的工具提供了改善的潜力.
- "手术安全检查清单"是成功减少可预防的不良事件的一个例子.
- 随着医疗保健优先事项的不断发展,现在在手术护理中强调了效率,获取,公平和以患者为中心.
研究的目的:
- 审查加拿大手术优先事项,并为国家手术安全战略提供信息.
- 探索质量概念的不断变化如何影响外科护理.
- 在国家手术策略中考虑超越传统临床指标的因素.
主要方法:
- 审查全国公布的加拿大手术优先事项数据.
- 分析省级和政府机构设定的优先事项.
- 探索包括效率,获取,公平和以患者为中心的护理在内的因素.
主要成果:
- 加拿大手术优先事项已经超越了传统的临床指标.
- 效率,获取,公平和以患者为中心的护理越来越被认为是关键的结果措施.
- 国家手术安全战略需要纳入这些更广泛的考虑.
结论:
- 需要对国家外科安全战略采取全面的方法.
- 整合效率,获取,公平和以患者为中心对于推进外科护理至关重要.
- 未来的战略应利用国家数据和政府优先事项,以获得最佳影响.
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