开发一个触发工具来识别儿科瘤学中的不良事件和无伤害事件:使用专家知识和用户经验的修改后的Delphi过程
Charlotte Engvall1,2, Margaretha Stenmarker1,2,3,4, Ann-Christine Andersson5,6
1Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Frontiers in health services
|January 28, 2026
概括
开发了一种新的儿科瘤触发工具,用于检测从医院转移到家庭护理的癌症儿童的不良事件和无伤害事件. 这种工具提高了儿童瘤学环境中的患者安全.
科学领域:
- 在瘤学瘤学.
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 儿科瘤医疗正在转向日托和家庭医疗保健.
- 现有的触发工具缺乏针对儿科瘤学独特的患者和专业协作护理模式的特异性.
- 需要在儿科瘤学中增强安全知识和工具.
研究的目的:
- 开发一个儿科瘤学触发工具.
- 为了促进不良事件和无害事件的检测.
- 改善儿童瘤患者从医院转移到家庭护理的患者安全.
主要方法:
- 一个多步骤的过程,包括文献搜索和修改后的Delphi过程,包括来自瑞典所有儿科瘤中心的专家.
- 国家多中心研究涉及四个中心的医疗记录审查,覆盖64%的人口.
- 通过虚拟会议和基于网络的调查收集数据,使用四点的利克特级别来评价触发器的相关性,可理解性和有用性.
主要成果:
- 开发儿科瘤学触发器工具.
- 最终的工具包括22个触发器,含有定义和决策支持信息.
- 该工具旨在增强对儿科瘤学患者安全的理解.
结论:
- 一种特定于环境的触发工具,小儿瘤触发工具,通过系统的过程成功开发出来.
- 该工具解决了儿童瘤学中独特的患者安全需求.
- 它可以在当地安全倡议中得到利用,以改善患有癌症的儿童的护理.
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