气管切除术脱过程模型:一个跨专业的,拉丁美洲的Delphi共识共识.
Roque Basoalto1, Yorschua Jalil2, Javiera Guzman3
1Departamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; CardioREspirAtory Research Laboratory, Departamento Ciencias de la Salud, Pontificia Universidad Católica de Chile, Santiago, Chile; Programa de Medicina Física y Rehabilitación, Red Salud UC CHRISTUS, Santiago, Chile.
Medicina intensiva
|March 3, 2026
概括
为拉丁美洲开发了气管管切除术的共识模型. 这一标准化过程澄清了角色,并指导了临床实践,以改善患者的康复.
科学领域:
- 关键护理医学 关键护理医学
- 卫生系统研究 卫生系统研究
- 专业间医疗保健 专业间医疗保健
背景情况:
- 气管切除术的切除术实践在全球范围内有所不同,影响患者的康复.
- 需要采用标准化的方法,特别是在多样化的拉丁美洲医疗保健系统中.
研究的目的:
- 为拉丁美洲医疗保健系统量身定制的气管管切除术开发一个基于共识的模型.
- 为了标准化脱流程,提高角色清晰度,并指导临床实践.
主要方法:
- 采用了三轮的德尔菲共识方法.
- 来自智利,阿根廷,墨西哥和厄瓜多尔的75名医疗保健专业人员参加了会议.
- 商业流程模型和标记被用来建模解路径.
主要成果:
- 建立了一个共识模型,包含7个子过程中的15个活动.
- 具体的专业角色和有条件的决策节点被定义为脱路径.
- 在特定的生理值方面没有达成共识;像支气管镜术这样的程序取决于环境.
结论:
- 一个跨专业小组成功地为拉丁美洲创建了一个标准化的气管切除术脱管过程.
- 该模型提供了一个明确的,可适应的框架来指导临床实践,并加强角色定义.
- 这种框架可以为未来的研究提供信息,并改善患者的治疗结果.
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