了解和克服儿科手术的延迟:一个范围审查
William M Burns1, Catherine R G Jay2, Ruiyi Yuan1
1Department of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
概括
儿科手术延迟源于医生,护理人员和系统性问题. 决策支持和多学科团队等干预措施在改善对抗药性的及时手术护理的获取方面表现有前途.
科学领域:
- 儿科神经学 儿科神经学
- 神经外科 神经外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 手术为患有耐药 (DRE) 的儿童提供了更好的治疗结果.
- 在全球范围内,儿童手术的获得仍存在显著的延迟.
- 了解这些延迟对于优化患者护理至关重要.
研究的目的:
- 综合导致儿童手术延迟的障碍物.
- 评估旨在克服这些延迟的干预措施,在儿童DRE.
主要方法:
- 根据PRISMA-ScR指南进行全面的范围审查.
- 在PubMed,Scopus,Web of Science和Embase数据库中进行了搜索.
- 医生,护理人员和系统障碍的专题综合;根据障碍类型分类的干预措施.
主要成果:
- 选了1126篇文章,其中包括58篇;延迟源于医生,护理人员和系统障碍的交织.
- 医生在定义DRE和转诊时的变化,护理人员的犹,以及像访问和差异这样的系统问题都导致了延迟.
- 包括自动推,多学科团队 (MDT),教育计划,决策指导,远程医疗和护理协调员在内的干预措施显示出希望.
结论:
- 儿科手术延迟是多因素的,涉及医生,护理人员和系统性挑战.
- 有希望的干预措施可以缓解这些延迟,包括决策支持工具,MDT和加强护理协调.
- 这些策略的儿科专用实施和扩展对于及时和公平的外科手术接入至关重要.
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