测量死性肠球炎护理质量的核心指标:欧洲Delphi研究
Otis C van Varsseveld1, Irene de Haro Jorge2, Daniel Rossi3,4,5,6
1Department of Surgery, Division of Pediatric Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Acta paediatrica (Oslo, Norway : 1992)
|August 9, 2025
概括
建立一个由9个质量指标组成的核心集,用于死性肠球炎 (NEC) 治疗,与患者和专家一起开发,旨在在欧洲范围内标准化护理,以获得更好的婴儿结果.
科学领域:
- 新生儿医学 新生儿医学
- 改善医疗保健质量 改善医疗保健质量
- 临床实践指南 临床实践指南
背景情况:
- 死亡性肠球炎 (NEC) 护理受到欧洲各地不一致的指导方针和实践差异的阻碍.
- 一个标准化的质量指标集对于改善NEC患者护理和结果至关重要.
研究的目的:
- 为了建立一个普遍接受的质量指标的核心集为死角性肠球炎 (NEC).
- 让患者和专家参与开发NEC护理的标准化方法.
主要方法:
- 德尔菲调查涉及来自19个欧洲国家的113名参与者,包括患者代表,临床医生和研究人员.
- 评估了27名患者的特征和41个质量指标,使用9分利克特级,分三个轮.
- 在49名专家和两名患者代表的共识会议上,最终确定了核心套件.
主要成果:
- 在八个患者基线特征上达成共识.
- 建立了九个核心质量指标:一个医疗保健结构,三个护理过程和五个结果指标.
- 在前10个指标中,有5个被患者和专家相互优先考虑.
结论:
- 通过多方利益相关者的共识,已经建立了NEC治疗的九个质量指标的核心集合.
- 在欧洲临床审计中实施可以促进基准测试,并加强对患有NEC的婴儿的护理.
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