在资源有限的环境中实施周期性注册表:可行性,可靠性和接受性研究
Joshua D Gazzetta1,2, Poster P Mutambo3,2, Mutimba B Mpabalwani3,2
1Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA.
概括
尽管资源有限,但在赞比亚实施外科手术记录系统显著改善了手术数据的收集. 这一举措增强了研究能力,
科学领域:
- 全球手术
- 医疗信息学
- 医学研究
背景情况:
- 在低收入和中等收入国家 (LMICs) 获得安全手术的机会有限,影响了90%的人口.
- 在资源有限的环境中, 手术和研究能力的增长受到阻碍.
- 增加数据可用性可以通过研究和质量改进来解决手术差异.
研究的目的:
- 在一个低收入国家的第三级医院实施和评估外科注册.
- 评估注册表的可行性和准确性.
- 收集患者的结果和经验.
主要方法:
- 在赞比亚最大的医院建立了为急诊腹腔切除术患者的预期外科注册.
- 数据收集发生在术后,退院前和30天.
- 通过患者积累,保留和30天完成率来评估可行性;通过数据缺失来衡量准确性;调查参与者的接受度.
主要成果:
- 参与者积累率 (99.4%) 和保留率 (95.1%) 高.
- 在30天内,75.6%的完成率和只有3.5%的缺失数据表明注册表的准确性很好.
- 超过75%的参与者对伦理研究行为和数据隐私做出了积极回应.
结论:
- 证明了经过最少资金的经营期注册表的成功实施.
- 开发的框架可以指导资源有限的医院创建新的数据注册表.
- 这项倡议为改善全球手术数据收集提供了潜在的路线图.
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