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探索挪威医院单位快速响应系统的修改
Jonas Torp Ohlsen1,2, Miriam Hartveit3,4, Stig Harthug5,6
1Department of Anesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway. jonas.torp.ohlsen@helse-bergen.no.
对快速响应系统 (RRS) 的修改是常见的,通常是反应性的,旨在提高适应性和可行性. 了解这些变化对于在整个实施过程中保持患者安全干预至关重要.
科学领域:
- 医疗保健干预措施 医疗保健干预措施
- 患者安全系统 患者安全系统
- 实施科学 实施科学
背景情况:
- 对基于证据的干预措施的修改是常见的,特别是在复杂的医疗保健干预措施中.
- 快速响应系统 (RRS) 对患者安全至关重要,但缺乏对上下文适应的指导.
- 报告调整和修改框架 - 扩展 (框架) 为RRS设计和实施提供了一个新的视角.
研究的目的:
- 探索挪威医院RRS的修改和适应.
- 了解这些修改是如何发生的,以及使用FRAME的基础原因.
- 确定影响RRS干预设计和实施的因素.
主要方法:
- 包括9个医院单位,RRS实施时间为4-12年.
- 通过聚焦小组和与临床医生和领导人的个人访谈收集数据.
- 使用感应性内容分析,然后使用FRAME进行演性分析.
主要成果:
- 确定了RRS修改的5个类别和24个子类别.
- 修改主要是反应性的,发生在维护阶段,并在单位层面决定.
- 目标包括改善可行性,有效性和适合性,这些目标由资源,服务结构,临床判断和患者因素驱动.
结论:
- 现实生活中的RRS修改提供了对干预适应过程的见解.
- 结果突出了因适合性和可行性而修改的元素,以及那些容易产生忠实性不一致的元素.
- 系统地预测所有实施阶段的修改对于患者安全干预至关重要.
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