在优化新生儿中中央静脉接入装置实践中的实施框架,策略和结果:范围审查
Elouise R Comber1,2, Deanne August1,2,3, Linda N Nguyen1,2
1The University of Queensland, Brisbane, Australia.
Hospital pediatrics
|July 21, 2025
概括
这次审查发现,新生儿中央静脉接入装置 (CVAD) 实践经常使用质量改善举措,并专注于卫生专业人员的教育. 对新生儿CVAD进行更广泛,以结果为重点的实施研究是缺乏的.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 临床实践的实施实施.
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 中枢静脉接入装置 (CVAD) 在新生儿护理中至关重要.
- 与CVAD不一致的做法构成了重大挑战,影响了患者的治疗结果.
- 现有的研究缺乏对新生儿CVAD实施框架的全面概述.
研究的目的:
- 对新生儿中枢静脉接入装置的实施框架,策略和结果进行范围审查.
- 确定新生儿CVAD实践实施研究的当前趋势和差距.
主要方法:
- 在主要的数据库 (EMBASE,CINAHL,PubMed,Web of Science,Cochrane Library) 进行了系统的搜索.
- 包括2012年至2024年8月以英语出版的研究.
- 研究的资格和质量由独立审查员使用混合方法评估工具进行评估.
主要成果:
- 包括44项研究,主要来自重症监护室和单站设置.
- "质量改进"是最常见的实施框架 (61%).
- 卫生专业教育 (80%),审计/监督 (77%) 和捆绑 (66%) 是常见的策略;感染是最常见的结果 (84%).
结论:
- 目前新生儿CVAD的实施框架主要是非结构化的质量改进工作.
- 对针对医疗保健专业人员的狭窄策略范围有有限的关注.
- 需要在新生儿CVAD实践中进行更广泛的,以结果为导向的实施研究.
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