儿童心胸前手术会议的实践模式:多中心调查研究
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在PubMed上查看摘要
概括
此摘要是机器生成的。儿科心胸前手术会议是常见的,对协作有价值,影响患者的管理. 然而,不同程度的满意度和不频繁的质量改进凸显了需要改进的领域.
科学领域
- 心脏病学
- 胸部手术
- 医学教育
背景情况
- 儿童心胸手术是复杂的,需要多学科的审查.
- 术前会议是美国儿童心脏病中心的标准做法.
研究的目的
- 评估美国儿科心胸外科手术前多学科会议的现有实践模式.
- 确定会议物流,同事参与,质量改进 (QI) 整合和满意度的变化.
主要方法
- 一项调查分发给美国124个儿童心脏病中心的董事.
- 收集有关会议频率,持续时间,形式,同事角色,QI流程和满意度的数据.
- 统计分析比较了大量和少量中心的实践.
主要成果
- 所有的47个响应中心每周举行手术前会议, 主要是混合.
- 在大多数情况下,研究人员提供不同的临床数据,从而影响患者的治疗.
- 高人数的中心更有可能举办多次会议,但不太可能有指定的主持人.
- 虽然被评为重要的 (中位数为10/10),但满意度更为温和 (中位数为7/10).
- 正式的QI过程很少发生 (17%),人们担心讨论的长度和效率.
结论
- 儿童心胸前手术会议是患者护理的协作和有影响力的组成部分.
- 有机会规范会议结构并提高效率.
- 整合正式的质量改进举措可以进一步优化这些关键的多学科会议.
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