为荷兰的医疗保健专业人员制定感染预防和控制指南:对该过程的评估
A E Sussenbach1, H Graveland2, A Voss3
1Knowledge Institute of the Dutch Association of Medical Specialists, Utrecht, the Netherlands; Department of Medical Microbiology and Infection Prevention, University Medical Center Groningen, Groningen, the Netherlands.
The Journal of hospital infection
|July 5, 2025
概括
医疗保健专业人员希望有更具体的感染预防指南. 改善指导方针开发流程,包括工作量和方法,是提高它们对患者安全的影响的关键.
科学领域:
- 与医疗保健相关的感染
- 基于证据的指导方针的制定.
- 感染预防策略感染预防策略.
背景情况:
- 鼻腔感染对患者构成重大风险,并增加医疗保健成本.
- 荷兰感染预防指南协作伙伴关系 (SRI) 制定了基于证据的指南,以减轻这些风险.
- 评估指南制定过程对于其可行性和有效性至关重要.
研究的目的:
- 评估医疗保健专业人员对当前基于证据的指导方针制定过程的经验.
- 确定在制定和实施指南方面需要改进的领域.
- 了解现有的指南开发框架的可行性.
主要方法:
- 对2021-2022年指导方针开发小组 (GDG) 成员进行的调查.
- 收集了关于参与者期望,工作量,对GDG组成和流程的满意度的数据.
- 对通用与特定领域的指导方针和实施因素的反分析.
主要成果:
- 48%的GDG成员回应了调查.
- 很大一部分发现时间投资高于预期,特别是文学选.
- 虽然对代表性和知识的满意度很高,但人们对推评估,开发和评估 (GRADE) 系统的适用性以及对特定领域指导方针的需求表示担忧.
结论:
- 强烈需要将通用指南适应到特定领域的版本中,以满足特定领域的要求.
- 优化指南开发过程需要解决工作量,方法挑战 (如GRADE适用性) 和实施策略.
- 改进至关重要,以最大限度地提高感染预防指南对患者护理的影响.
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