不明智的选择最大的风险在哪里? 一项针对急救部门临床医生的调查
Joseph Tuxen-Vu1,2, Gerard O'Reilly3,4,5, Julia Morphet6,7
1Department of Emergency Medicine, Monash Health, Clayton, Victoria, Australia.
Emergency medicine Australasia : EMA
|July 30, 2025
概括
紧急诊所的临床医生确定了D-二次体,静脉血气 (VBG),C反应蛋白 (CRP) 和腹部X射线为低价值护理的高风险. 对于一些常见的诊断测试,医生和护士对风险的看法各不相同.
科学领域:
- 紧急医疗 紧急医疗
- 改善医疗保健质量 改善医疗保健质量
- 诊断测试 诊断测试 诊断测试
背景情况:
- 质量改善对于负责任的医疗保健资源分配至关重要.
- 对诊断测试的研究很少,这些诊断测试被紧急诊断医生认为是低价值或可变的.
研究的目的:
- 为了确定诊断测试被紧急诊所医生认为是高风险的不合理的变化或低价值的护理.
主要方法:
- 自愿电子调查分发给澳大利亚和新西兰的紧急诊所医生.
- 受访者确定了被认为具有高风险变异和/或低价值护理的调查.
主要成果:
- 184名临床医生做出了反应;D-二次体 (42%),静脉血液气体 (39%),C反应蛋白 (35%) 和腹部X射线 (35%) 是最高识别的测试.
- 与护理人员相比,医务人员认为CRP,尿液药物查,凝血概况,酸盐水平,ESR和腹部X射线的风险较高.
- 对于两组人来说,D-二聚体和VBG都是高风险的;常规测试是低风险的.
结论:
- 通常使用的诊断测试被认为是高风险的变异和低价值的护理.
- 医疗和护理人员对风险的看法不同.
- 未来的工作应该探索变化的原因,并实施审计和反等减少策略.
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