开发一种方法来加强集群随机实施试验的招聘:利用审议参与和可信的使者
Valerie M Vaughn1,2, Jennifer Horowitz2, Tejal Gandhi3
1Department of Internal Medicine, Division of General Internal Medicine, The University of Utah School of Medicine, Salt Lake City, Utah, USA.
BMJ open
|September 17, 2025
概括
一个新的招聘策略成功地招募了74%的符合条件的医院参加了出院抗生素处方试验. 这种以理论为基础的方法利用了深思熟虑的参与和可信的信使,尽管时间密集,但证明是有效的.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床试验招聘 临床试验招聘
- 抗生素管理局 抗生素管理局
背景情况:
- 招募医院进行集群随机对照试验 (RCT) 是一个挑战.
- 减少在出院时过度使用抗生素 (ROAD) 家庭试验旨在改善出院时的抗生素处方.
- 开发并实施了一项创新的招聘策略.
研究的目的:
- 评估一种创新的,基于理论的方法来招募医院参加集群RCT.
- 评估招聘战略的可行性,影响和资源需求.
- 通过医院参与集群RCT,改善出院抗生素处方.
主要方法:
- 密歇根急性护理医院的质量改善协作被用作设置.
- 来自密歇根医院医疗安全联盟的代表参加了会议.
- 小组招聘会议在一个日期结合了审议参与和可信的信使.
主要成果:
- 在69家符合条件的医院中,有51家 (74%) 被招聘.
- 82%的参与者对招聘会非常满意.
- 招聘是时间密集的,需要179.5人小时加上大量的准备和后续时间.
结论:
- 使用深思熟虑的参与和可信的信使的新型招聘方法是可行的和有效的,用于招聘医院集群RCT.
- 该战略在短时间内成功地招募了过多的医院.
- 这种方法可以指导未来的医院集群RCT招聘工作.
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