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建立医院前儿科准备项目的质量措施
Caleb E Ward1, Kathleen Adelgais2, Rachael Alter3
1Department of Pediatrics, Division of Emergency Medicine, Children's National Hospital & The George Washington University School of Medicine & Health Sciences Washington DC, US.
紧急医疗服务 (EMS) 开发了儿童医院前护理的24项质量措施. 这些措施旨在改善紧急情况儿童的护理,支持质量改善倡议.
科学领域:
- 紧急医疗服务 (EMS)
- 儿科急救护理 儿科急救护理
- 质量改进 (QI) 是指提高质量的方法.
背景情况:
- 儿科患者是EMS中高风险,低频率的人群.
- 儿童特异性质量的提高对于高质量的护理至关重要.
- 儿童医院前护理缺乏广泛接受的质量指标.
研究的目的:
- 建立国家EMS信息系统 (NEMSIS) 衍生的儿科医院前仪表板的核心质量措施.
- 支持EMS的儿科质量改善倡议.
- 制定一套基本的措施,适用于各种EMS机构.
主要方法:
- 召集了一个拥有多元专业知识的16名技术专家小组 (TEP).
- 通过文献审查和TEP调查确定了候选措施.
- 采用修改后的Delphi流程与共识标准 (≥75%的TEP评分≥4) 进行措施优先排序.
主要成果:
- 确定了65个候选措施,在24个核心质量措施上达成共识.
- 这些措施涵盖了各种儿童医院前疾病:呼吸道,创伤,疼痛,呼吸道,心脏骤停,过敏反应,休克,,低血糖,新生儿紧急情况,非运输和安全运输.
- 54%的措施适用于基本生命支持 (BLS) 团队.
结论:
- 建立了儿科EMS的24个基本质量指标,强调实践和相关性.
- 需要使用NEMSIS数据进行进一步的验证,以确定护理基准.
- 这些措施将支持提供高质量的儿科医院前急救护理的战略.
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