[关于实施早期预警分数的修改后的Delphi研究]
Peter Nydahl1,2, Florian Grossmann3, Vanessa Franke4
1Pflegewissenschaft und -entwicklung, Universitätsklinikum Schleswig-Holstein, Haus V40, Arnold-Heller-Str. 3, 24105, Kiel, Deutschland. Peter.Nydahl@uksh.de.
实施早期预警分数 (EWS) 需要结构化规划,专业间培训和持续反,以成功检测临床恶化. 将EWS嵌入到质量系统中可以确保医院的可持续整合.
科学领域:
- 医疗保健管理的管理
- 临床信息学 临床信息学
- 患者安全 患者安全
背景情况:
- 早期预警分数 (EWS) 对于检测医院的临床恶化至关重要.
- 实施EWS带来了重大的机构,结构和文化挑战.
研究的目的:
- 确定有效实施EWS的基本结构,流程和常见陷.
- 制定基于共识的建议,以优化EWS在临床实践中的整合.
主要方法:
- 一个经过修改的Delphi研究,涉及有实践EWS实施经验的专家.
- 三轮数据收集,主题聚类和专家评级,随后是共识会议.
主要成果:
- 确定了51个高度相关的建议,优先考虑专业间培训和透明的沟通.
- 常见的障碍包括IT整合问题,不清楚的角色和不充分的反.
- 关键的成功因素是跨学科的团队,早期评估和整合到临床例程中.
结论:
- 协商一致的建议可以为决策者指导系统地实施EWS.
- 结构化的规划,培训和反对于成功采用EWS至关重要.
- 可持续的整合需要将EWS嵌入质量系统,教育和临床工作流程中.
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