在剖腹产后强化康复中使用的质量改善方法:叙述性审查和作者调查
Kelly Fedoruk1, Brendan Carvalho2, Lindsay Blake3
1Stanford University School of Medicine, Stanford, California, USA kfedoruk@stanford.edu.
BMJ open quality
|December 3, 2025
概括
在剖腹产 (ERAC) 协议后改善康复在研究中显示了各种质量改善 (QI) 方法. 大多数作者在他们的出版物中没有使用定义的QI方法或标准化报告工具进行报告.
科学领域:
- 产科和妇科 产科和妇科
- 改善医疗保健质量 改善医疗保健质量
- 基于证据的医学 基于证据的医学
背景情况:
- 剖腹产后增强康复 (ERAC) 协议越来越多地被采用,以改善母亲和新生儿的结果.
- 需要了解支持这些ERAC研究的质量改进 (QI) 方法.
- 本研究探讨了ERAC研究中实施的QI实践.
研究的目的:
- 确定在剖腹产后增强恢复 (ERAC) 研究中使用的质量改进 (QI) 方法的存在和类型.
- 评估ERAC发表文献中的QI实践报告情况.
主要方法:
- 在四个主要数据库 (PubMed,CINAHL,Web of Science,Embase) 进行了ERAC研究的文献搜索.
- 包括的研究将增强/快速通道协议与对照组进行了比较,并评估了多种结果.
- 标准化问卷被发送给包括在内研究的作者来评估智商方法,其中15位作者回答率为63%.
主要成果:
- 在29项确定的研究中,40%的受访作者报告使用了定义的QI方法,主要是改善模型.
- 关键QI组件如利益相关者参与 (80%) 和流程映射 (60%) 即使没有定义的方法也被使用.
- 大多数作者使用传统的统计分析 (73%),60%报告遵守质量改进报告卓越标准 (SQuIRE) 准则.
结论:
- 在ERAC协议实施和报告的QI实践中存在显著的差异.
- 少数ERAC研究报告使用定义的QI方法.
- 在ERAC研究的出版文献中,标准化QI工具的报道不足.
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