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安全有效的基因组医学在医院中的实施:一个范围审查

Luisa Clucas^1,2, Cate Kelly^3,4, Trang Thu Do^1,5

¹Melbourne Genomics Health Alliance, Melbourne, Victoria, Australia.

BMJ open quality

|September 22, 2025

概括

没有现有的框架指导医院层面的基因组医学实施. 成功的关键因素包括领导力,劳动力,质量指标和患者伙伴关系,以确保安全和公平的基因组护理.

科学领域:

基因组医学是基因组医学.
临床治理的管理.
卫生系统的实施卫生系统的实施

背景情况:

基因组医学正在改变跨专业的临床实践.
有效的临床治理对于安全的基因组医学实施至关重要.
现有的国家框架缺乏医院一级的实施细节.

研究的目的:

确定现有的基因组医学医院级临床治理框架.
评估当前方法对于本地基因组医学实施的适用性.

主要方法:

系统性范围审查的方法.
在Medline,Embase和PubMed数据库中进行了搜索 (2009-2022年).
专注于医院/联盟层面的基因组学临床治理的结构化方法.

主要成果:

没有确定医院级基因组学的整体临床治理框架.
八个出版物包含了相关的实施组件.
确定了关键要素:领导力,劳动力,安全实践,质量指标和消费者伙伴关系.

结论:

缺乏基于证据的框架阻碍了医院基因组医学实施的综合临床治理.
开发这样的框架对于公平,高效和安全的患者护理至关重要.
医院一级的变革和综合治理对于整个卫生系统的基因组医学采用至关重要.

关键词:

检查清单检查清单检查清单临床治理的管理.改善医疗保健质量改善医疗保健质量实施科学实施科学领导力领导力领导力

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