监测长期护理设施护理的质量指标:一个范围审查
Gillian E Caughey1, Miia Rahja2, Rangika Fernando2
1Registry of Senior Australians Research Centre, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia; Registry of Senior Australians Research Centre, Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia; UniSA Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.
这次审查确定了长期护理设施的327个质量指标 (QI),重点关注安全性和有效性. 研究结果表明,需要全面,以人为中心的QA来提高全球长期护理质量.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高科学 提高质量
背景情况:
- 长期护理设施 (LTCF) 为老年人提供基本服务.
- 监测和评估LTCF的护理质量和安全性对于居民福祉至关重要.
- 现有的质量指标 (QI) 可能无法完全捕捉这些环境中护理的复杂性.
研究的目的:
- 系统地确定和综合用于长期护理设施 (LTCFs) 护理质量和安全的例行监测的质量指标 (QI).
- 了解现有QA涵盖的护理领域,类型和维度.
- 为开发LTCF的全面QI框架提供信息.
主要方法:
- 进行了范围文献审查,以确定公开可用的QA.
- 搜索包括自2012年以来出版的学术和灰色文献.
- 根据领域,类型 (结构,过程,结果) 和质量维度 (效率,有效性,以患者为中心,及时性,公平性,安全性) 综合了QI.
主要成果:
- 总共有327个来自13个国家的18个项目中的327个智商被确定.
- 结果QI占多数 (68.2%),其次是过程 (30.0%) 和结构 (1.8%) 的QI.
- 安全性和有效性是最常见的方面 (79.2%),跌倒,药物安全性和压力损伤是常见的领域.
结论:
- 目前针对LTCF的国际QI主要强调安全和有效的护理.
- 需要更广泛地采用整体,以人为中心的QA,涵盖包括公平性在内的护理质量的所有维度.
- 实施全面的QI套件可以在全球范围内推动LTCF的显著改进.
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