在COVID-19大流行期间,在紧急部门采用,使用和实施创新
Shreya S Huilgol1, Carl T Berdahl2,3, Nabeel Qureshi2
1RAND Corporation, Boston, Massachusetts, USA.
BMJ innovations
|August 11, 2025
概括
在COVID-19大流行期间,紧急部门的临床医生在创新实施中进行了导航,面临证据有限和恐惧等挑战. 支持性的领导和明确的协议是成功采用新实践的关键.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健创新 医疗保健创新
- 公共卫生紧急情况 公共卫生紧急情况
背景情况:
- 在公共卫生紧急情况期间,临床医生对创新实施的决策存在有限的研究.
- 在这些关键时期,基于证据的信息往往很少.
研究的目的:
- 了解急诊室 (ED) 临床医生如何决定实施创新.
- 描述在ED中创新实施过程中遇到的促进者和挑战.
主要方法:
- 在美国八家医院与ED临床医生进行了3次试点采访和13次焦点小组讨论.
- 包括医生,高级实践提供者,护士和呼吸治疗师.
- 利用了感应和演内容以及成绩单的专题分析.
主要成果:
- 促进者包括社交媒体,临床医生的自主权,领导力支持和以前的经验.
- 挑战包括有限的证据,不断变化的指导方针,恐惧,道德困扰和临床医生的拒绝.
- 成功的采用得到了领导力倡导,患者改善,易用性和资源的帮助.
结论:
- 在COVID-19大流行期间,影响ED采用创新的因素包括恐惧和道德困境.
- 组织应促进心理安全,提供资源和协议,并突出成功的支持创新.
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