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在外科手术前护理中的结构和过程的质量指标:系统审查
Sarah Kelly1, Paige Cunnington1, Harry Dunn1
1The Healthcare Improvement Studies Institute, University of Cambridge, Cambridge, UK.
Anaesthesia
|March 11, 2026
概括
这项系统性审查确定了许多外科手术期间的质量指标,发现虽然证据支持增加了,但许多缺乏验证和患者参与. 标准化指标开发对于提高外科手术护理质量至关重要.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 手术护理标准 手术护理标准
- 医疗保健服务研究 医疗服务研究
背景情况:
- 质量指标对于医疗保健的比较和改进至关重要.
- 现有的术后护理指标具有可变的相关性和证据基础.
- 本次审查更新了对这些指标的十年前评估.
研究的目的:
- 确定手术前护理的可用结构和过程指标.
- 评估支持这些指标的证据.
- 为制定一套核心的外科手术期间的质量指标提供信息.
主要方法:
- 在主要医疗数据库 (MEDLINE,Embase,CINAHL,Cochrane) 进行系统搜索.
- 包括英语成人研究和相关的灰色文学.
- 分析已识别的结构和流程指标及其支持证据.
主要成果:
- 确定了615个指标 (324个过程,248个结构),新增了380个.
- 证据支持82%的指标,比之前的47%有显著的增长.
- 只有12%的指标得到了验证,在定义和缺乏患者参与方面出现了不一致.
结论:
- 需要对外科手术期间的质量指标开发和命名进行标准化.
- 提高信誉和实用性需要明确的报告,验证和患者参与.
- 合理化大量重叠的指标对于提高可用性和推动外科护理的有意义改进至关重要.
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