在低收入和中等收入国家实施试点项目,以指导使用最佳实践建议改善外科手术质量
Lye-Yeng Wong1, Saad Hussain2, Michael Labib2
1Department of Cardiothoracic Surgery, Stanford University, Palo Alto, CA, United States.
Frontiers in health services
|July 2, 2025
概括
在低收入和中等收入国家 (LMICs) 通过本地伙伴关系实施最佳实践建议 (BPR) 改善了外科护理. 在老,尼日利亚和埃塞俄比亚的试点项目分别侧重于手部卫生,抗菌药物管理和创伤护理.
科学领域:
- 全球健康 全球健康
- 外科手术的安全性
- 改善医疗保健 改善医疗保健
背景情况:
- 遵守最佳实践建议 (BPR) 对于降低外科护理中的发病率和死亡率至关重要.
- 低收入和中等收入国家 (LMICs) 在实施标准化外科医疗服务方面面临重大挑战.
- 国际合作和当地利益相关者参与是成功实施BPR的关键.
研究的目的:
- 在三个不同的低收入和中等收入国家 (LMICs) 进行手术医疗保健的最佳实践建议 (BPRs) 的试点实施.
- 建立一个可扩展的框架,通过协作,本地驱动的倡议,优化和标准化LMICs的安全和高质量的外科护理.
主要方法:
- 在老,尼日利亚和埃塞俄比亚的三个LMIC医疗保健中心参与了实施试点.
- 当地团队进行了需求评估,以定制 BPR 实施策略.
- 用初步数据的描述性分析来评估正在进行的项目.
主要成果:
- 在老,一项基线评估显示,56.1%的手部卫生机会在儿科医院被错过.
- 在尼日利亚,81.2%的手术患者使用抗生素是为了预防而不是经验治疗.
- 埃塞俄比亚制定了一项增强的紧急医疗技术人员课程,结合了先进的生命支持和质量标准.
结论:
- 由当地利益相关者领导的国际合作成功启动了需求评估,以指导BPR实施项目.
- 这些可扩展的试点项目为提高LMICs手术护理质量和标准化提供了基础框架.
- 这些发现强调了本地化BPR实施的潜力,可以在资源有限的环境中显著改善外科手术结果.
相关概念视频
01:26Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
01:22Healthcare Associated Infections II: Preventive Measures
2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K
01:30Health Information Technology and Healthcare Information System
936
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
936
01:15Nursing Implementation
5.3K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.3K
01:30Primary Healthcare Services
1.5K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.5K