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临床审核以改善重症监护:第 1 部分 准备和收集数据。

Clinical audits to improve critical care: Part 1 Prepare and collect data.

机构信息

Alliance for Vascular Access Teaching and Research (AVATAR) Group; Menzies Health Institute Queensland, Griffith University, Australia; School of Nursing and Midwifery, Griffith University, Australia; Centre for Clinical Nursing; Royal Brisbane and Women's Hospital, Australia; Paediatric Critical Care Research Group; Lady Cilento Children's Hospital, Brisbane, Australia.

National Centre of Research Excellence in Nursing; Alliance for Vascular Access Teaching and Research (AVATAR) Group; Menzies Health Institute Queensland, Griffith University, Australia; Centre for Clinical Nursing; Royal Brisbane and Women's Hospital, Australia.

出版信息

Aust Crit Care. 2018 Mar;31(2):101-105. doi: 10.1016/j.aucc.2017.04.003. Epub 2017 May 24.

Abstract

Clinical audits are used to examine current practice, compare this with established best practice and implementing change, to ensure patients receive the most effective treatment. They are successful in improving the quality and safety of care provided, and thereby clinical outcomes. Clinical audits are ubiquitous throughout critical care practice, but without the necessary focus, engagement, preparation, method, evaluation and communication, they may be a waste of resources. This article is the first of a two-paper series regarding audits in critical care. The article provides an overview of the structures and processes needed to prepare and collect data for clinical audits, to make them as effective as possible to improve patient outcomes. This is accomplished through a practical step-by-step guide, including links to valuable resources, which are relevant to all critical care clinicians planning on undertaking clinical audits.

摘要

临床审核用于检查当前的实践,将其与既定的最佳实践进行比较,并实施变革,以确保患者得到最有效的治疗。它们成功地提高了所提供护理的质量和安全性,从而改善了临床结果。临床审核在重症监护实践中无处不在,但如果没有必要的关注、参与、准备、方法、评估和沟通,它们可能是浪费资源。本文是关于重症监护审核的两部分系列文章中的第一篇。本文概述了为临床审核准备和收集数据所需的结构和流程,以使它们尽可能有效地改善患者的预后。这是通过一个实用的逐步指南来实现的,包括与所有计划进行临床审核的重症监护临床医生相关的有价值资源的链接。

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