现场审查员对实施癌症操作标准委员会实施的看法
Alison S Baskin1,2, Timothy Kravchenko2,3, Elizabeth C Funk4
1Department of Surgery, University of California San Francisco, San Francisco, CA.
Journal of the American College of Surgeons
|July 8, 2025
概括
癌症委员会 (CoC) 网站审查员认为,操作标准有利于提高癌症手术质量. 加强实施需要领导层的支持和外科医生的参与,利用审查员.
科学领域:
- 手术瘤学手术瘤学
- 改善医疗保健质量 改善医疗保健质量
- 实施科学 实施科学
背景情况:
- 癌症委员会 (CoC) 引入了六个操作标准,以标准化癌症手术.
- 认证涉及受过培训的审核人员进行现场考察,以评估合规性.
- 了解审查员的观点对于有效实施至关重要.
研究的目的:
- 描述癌症委员会 (CoC) 站点审查人员对实施新操作标准的看法.
- 识别促进者和障碍者,以遵守癌症手术标准.
主要方法:
- 进行了20次半结构化采访,与CoC现场审查人员进行了采访.
- 使用了覆盖范围,有效性,采用,实施和维护 (RE-AIM) 框架.
- 应用了主题分析,并将发现映射到实施研究综合框架 (CFIR).
主要成果:
- 审查人员认为,操作标准是癌症手术技术质量的积极一步.
- 合规与领导支持,跨学科沟通和资源有关.
- 外科医生的耐药性成为实施的重要障碍.
结论:
- CoC网站审查员通常对运营标准有好看的看法.
- 专注于领导力支持和外科医生的参与可以改善标准的实施.
- 正式化站点审查人员的支持作用可以提高合规性.
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