急诊科老年患者护理中的质量指标：文献系统综述
Quality indicators in the care of older persons in the emergency department: A systematic review of the literature.
作者信息
Burkett Ellen, Martin-Khan Melinda G, Gray Leonard C
机构信息
Princess Alexandra Hospital, University of Queensland, Brisbane, Queensland, Australia.
School of Medicine, University of Queensland, Brisbane, Queensland, Australia.
出版信息
Australas J Ageing. 2017 Dec;36(4):286-298. doi: 10.1111/ajag.12451. Epub 2017 Jul 31.
OBJECTIVE
A systematic review of the literature was undertaken to assess the methodological quality of existing quality indicators (QIs) for the emergency department (ED) care of older persons.
METHODS
MEDLINE, CINAHL, EMBASE and grey literature were searched. Articles were included if they addressed ED care of persons aged ≥65 years and defined a QI amenable to influence by ED providers. The methodological quality of QIs was assessed using relevant items from the Appraisal of Indicators through Research and Evaluation and the QUALIFY tools.
RESULTS
Sixty-one articles were included in the review, with identification of 50 QIs meeting predefined inclusion criteria. Thirty-six of fifty ED QIs for older persons were process indicators. The appraisal instruments' total ratings ranged from 39 to 67%, with only 18 QIs scoring 50% or more for all five domains.
CONCLUSION
There is a need for a balanced, methodologically robust set of QIs for care of older persons in the ED.
目的
对文献进行系统综述，以评估现有用于老年人急诊科（ED）护理的质量指标（QIs）的方法学质量。
方法
检索了MEDLINE、CINAHL、EMBASE和灰色文献。如果文章涉及65岁及以上人群的急诊科护理，并定义了急诊科提供者可影响的质量指标，则纳入这些文章。使用“通过研究和评估对指标进行评估”及“QUALIFY”工具中的相关项目评估质量指标的方法学质量。
结果
该综述纳入了61篇文章，确定了50个符合预定义纳入标准的质量指标。50个老年人急诊科质量指标中有36个是过程指标。评估工具的总评分范围为39%至67%，只有18个质量指标在所有五个领域的得分达到或超过50%。
结论
急诊科需要一套平衡的、方法学上稳健的老年人护理质量指标。
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