在烧伤护理中发表质量改善干预措施:呼吁一线临床医生
Alan D Rogers1, David L Wallace1
1Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada.
概括
由于出版障碍,在烧伤护理中传播质量改进 (QI) 是一个挑战. 本研究提出了采用SQUIRE 2.0和培训审查员等策略,以促进基于证据的实践的传播.
科学领域:
- 医疗保健的质量 医疗保健的质量
- 医学教育 医学教育
- 烧伤护理研究研究
背景情况:
- 质量改善 (QI) 举措对于推进烧伤护理至关重要.
- 在燃烧护理方面成功的当地QI项目很少被公布,这阻碍了知识共享.
- 质量指数发布的障碍包括不清楚的报告准则和审查员在改进方法方面的有限专业知识.
研究的目的:
- 识别在烧伤护理中发布QI倡议的障碍.
- 为燃烧中心提出实际策略,以提高QI出版率.
- 促进在烧伤护理中传播基于证据的,可适应的实践.
主要方法:
- 分析QI项目发表在烧伤护理中的常见障碍.
- 关于燃烧中心的三个可行的策略的建议.
- 引入10点质量改进倡议 (QII) 评分框架,用于项目规划和传播.
主要成果:
- 在烧伤护理中,大多数成功的QI计划仍然局部化和未发表.
- 发现的关键障碍包括报告期望和审核员对QI方法的熟悉度.
- 拟议的战略旨在简化QI项目的发布流程.
结论:
- 增加QI倡议的发布对于推动全球烧伤护理至关重要.
- 通过采用标准化报告 (SQUIRE 2.0) 和增强审查员能力,可以克服传播障碍.
- 建议的框架和策略可以指导燃烧中心在规划和发布有影响力的QI项目.
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