利用退出实施科学促进感染预防和管理:路线图和实际例子 (II部分II)
Westyn Branch-Elliman1,2,3, Samira Reyes Dassum4, Stephanie Stroever5
1Department of Medicine, Section of Infectious Diseases, Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA.
Infection control and hospital epidemiology
|September 10, 2025
概括
停止实施,停止不有效的做法,对于改善医疗保健质量至关重要. 应用非实施科学原则有助于减少感染预防和抗微生物药物管理中的低价值护理.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 预防感染 预防感染
- 抗微生物药物管理委员会
- 废除实施科学 废除科学
背景情况:
- 对医疗保健质量改进计划来说,取消现有做法是必不可少的.
- 促进不有效的抗微生物药物使用和低价值诊断测试的停止实施是关键的管理实践.
- 这篇论文是系列的第二部分,将执行科学原则应用于感染预防和管理.
研究的目的:
- 讨论在感染预防和管理中应用脱落科学原则的过程.
- 审查现实世界的例子和案例研究,展示退出实施策略.
- 突出适应性感染预防和管理计划的需要.
主要方法:
- 讨论去实施科学的原则及其与实施的相互作用.
- 审查案例研究:国家血液培养不足,接触预防措施,手术/牙科预防.
- 将障碍物和促进因素映射为基于证据的撤销战略.
主要成果:
- 现实世界的例子说明了如何减少低价值,无效或过时的做法.
- 退出实施策略可以通过绘制障碍和促进者的地图来定制.
- 适应不断变化的证据,背景和条件对计划至关重要.
结论:
- 取消实施类似于实施,但重点是停止实践.
- 医疗保健的行动偏见和风险厌恶可能会阻碍实施.
- 利用非实施科学引导医疗保健减少低价值干预措施.
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