扩大智能化手术前测试的规模:多个站点评估对撤销实施策略的调整,使用框架报告对基于证据的实施策略的调整和修改
Erin Kim1, Nicole M Mott2, Dana Greene3
1University of Michigan Medical School, Ann Arbor, Michigan; Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, Michigan.
将选择性手术干预前的正确尺寸测试适应于不同医院,减少了不必要的手术前测试. 定制策略保持了干预的核心,同时与当地需求保持一致,提高了医疗保健的效率.
科学领域:
- 实施科学 实施科学
- 医疗保健管理的管理
- 手术优化手术优化
背景情况:
- 不必要的手术前检测导致医疗保健成本增加,护理级联,以及手术延迟.
- 选择性手术干预前的正确尺寸测试旨在减少低价值的手术前测试.
- 了解干预措施的适应性对于在不同的医疗保健环境中实现干预至关重要.
研究的目的:
- 应用基于证据的实施策略的调整和修改报告框架 (FRAME-IS) 来跟踪修改.
- 分析多元组件干预措施的特定场所适应,以减少手术前检测.
- 了解退出实施策略如何适应不同的医疗保健环境.
主要方法:
- 在三家密歇根医院 (2024年3月至8月) 进行了选择性手术干预前的正确尺寸测试.
- 干预组件包括现场访问,决策辅助,指导,促进和审计/反.
- 分析了半结构面试,现场笔记和FRAME-IS数据,以识别和比较干预修改.
主要成果:
- 在内容,评估,培训和上下文中确定了九个独特的,忠实一致的修改.
- 修改包括替代风险分类方法和重新包装的材料.
- 适应与当地的工作流程,基础设施和组织背景相一致的适应.
结论:
- 多组件干预可以成功地适应不同的临床环境,同时保留核心组件.
- 定制干预措施可以提高与当地工作流程和基础设施的协调性.
- 调查结果通过展示有效的适应策略,为更广泛的退出实施努力提供信息.
更多相关视频
07:31A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
Published on: February 13, 2020
13:12Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping
Published on: August 12, 2019
相关概念视频
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Study Designs in Epidemiology
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Nursing Evaluation
SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Strategies for Assessing and Addressing Confounding
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
