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对儿科患者安全检查清单进行全面审查
Kawtar Zouaidi1, Tate W Miner2, Muhammad F Walji3
1Texas Center for Oral Healthcare Quality and Safety (K Zouaidi), UTHealth Houston School of Dentistry, Houston, TX.
儿科安全检查清单在各种护理环境中被广泛使用,并提高了患者的安全和护理质量. 为了更普遍的发现,需要进一步研究严格的设计.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 患者安全研究 患者安全研究
- 改善临床质量 改善临床质量
背景情况:
- 安全检查清单越来越被认为是医疗保健中的重要工具.
- 由于患者的独特需求,它们在儿科环境中的应用需要进行特定的检查.
研究的目的:
- 系统地审查儿童临床护理中安全检查清单的使用和有效性.
- 识别这些检查清单的常见设置,开发方法和报告的影响.
主要方法:
- 使用Medline对儿科患者安全检查清单的研究进行了全面的文献搜索.
- 包括到2023年9月发布的所有研究设计.
- 对74项选定的研究进行了数据提取和分析.
主要成果:
- 儿科外科,重症监护室和急诊室是使用检查清单的主要设置.
- 虽然50%的研究制定了检查清单,但只有两项涉及患者/家长的输入.
- 46%的研究评估了影响;79%报告说质量改善和不良事件减少,18%发现没有影响.
结论:
- 儿科安全检查清单是各种各样的护理环境中宝贵的工具.
- 有证据表明,检查清单可以提高护理质量和患者安全.
- 未来的研究应该采用严格的设计,以获得更具结论性和可概括的结果.
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