影响SurgeCon在加拿大四个急救部门实施的因素,以实施研究的综合框架为指导
Nahid Rahimipour Anaraki1, Meghraj Mukhopadhyay1, Christopher Patey2,3
1Centre for Rural Health Studies, Faculty of Medicine, Memorial University of Newfoundland, St. John's, Canada.
紧急部门 (ED) 过度拥挤是一个主要问题. SurgeCon计划改善了患者流动,但面临着COVID-19和资源限制等实施障碍,需要战略行动计划才能取得成功.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高科学 提高质量
- 实施科学 实施科学
背景情况:
- 在加拿大,急救部门 (ED) 过度拥挤是一个持续的挑战.
- SurgeCon的质量改进计划旨在提高患者流动,沟通和减少等待时间.
- 在资源有限的ED环境中,缺乏这样的程序的现实世界实施和可持续性数据.
研究的目的:
- 探索影响加拿大EDS实施SurgeCon计划的因素.
- 使用实施研究综合框架 (CFIR) 识别SurgeCon实施的促进者和障碍.
主要方法:
- 在加拿大四个EDs (两个农村,两个城市) 中,在2.5年内采用了纵向定性研究设计.
- 与医生,护士和医院管理人员进行了42次半结构化采访.
- 数据分析涉及由CFIR框架指导的感应和演主题分析.
主要成果:
- 促进者包括实时数据,工作流程优化和增强通信 (CFIR创新特征) 的感知好处.
- 障碍包括COVID-19的干扰 (外部设置),资源限制和碎片化沟通 (内部设置) 以及领导力参与 (个体特征).
- 实施障碍最终超过了确定的促进者.
结论:
- 提出了八个战略行动计划,以加强SurgeCon的采用.
- 这些计划重点关注领导力承诺,自动化,跨部门合作,反循环和变革管理.
- 目标是最大限度地利用促进者,并解决实现可持续成功的关键障碍.
更多相关视频
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
相关概念视频
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Guidelines and Strategies for Safe Computer Charting
Maintain Confidentiality and Security:
Acute Coronary Syndrome IV: Interprofessional Care
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
