临床护理途径更新的框架:炎症性肠病的一个例子
K D Chappell1, L Olayinka2, R Sutton1
1Division of Gastroenterolgy, Department of Medicine, University of Alberta, Edmonton, Zeidler Ledcor Building; 8540 - 112 Street, AB, T6G 2X8, Canada.
一个新的框架通过评估风险和影响来规范更新临床护理途径 (CCP). 这确保了CCP保持当前状态,并支持基于证据的医疗保健决策,以改善患者的治疗结果.
科学领域:
- 医疗保健管理的管理
- 临床实践指南 临床实践指南
- 基于证据的医学 基于证据的医学
背景情况:
- 临床护理途径 (CCP) 标准化了护理,但需要定期更新以反映当前的证据.
- 现有的文献缺乏指导,以新证据出现时指导CCP的续约流程.
- 更新CCP对于保持高质量,基于证据的医疗保健服务至关重要.
研究的目的:
- 为更新临床护理途径 (CCP) 制定一个循环框架.
- 将开发的框架应用于现有的省级炎症性肠病 (IBD) 中央防治中心.
- 标准化更新和更新医疗保健临床途径的过程.
主要方法:
- 开发了一个审查矩阵,按CCP的变化风险和临床影响分层.
- 一个多学科研讨会吸引了22名IBD利益相关者来改进和应用该框架.
- 与会者提供了反,并对矩阵定义进行了投票,然后将框架应用于现有的IBD CCP.
主要成果:
- 商定了四个级别的审查矩阵,根据变化风险和临床影响对CCP进行分类.
- 风险的变化是由证据演变的速度来定义的,临床影响是由质量护理的重要性来定义的.
- 利益相关者达成共识,使用该框架对现有IBD CCP分配级别.
结论:
- 开发的框架为更新和更新临床途径提供了一种标准化的方法.
- 使用该框架可以确保中央对手保持最新状态,帮助医疗保健专业人员在临床决策中做出决定.
- 该框架可以适应各个医疗保健学科,以建立一个强大的更新过程.
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