为什么我们需要一个新的中重度创伤性脑损伤临床实践指南？
Why Do We Need a New Clinical Practice Guideline for Moderate to Severe Traumatic Brain Injury?
机构信息
Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR) and Université de Montréal, Montreal, Quebec, Canada (Dr Swaine); Brain and Spinal Cord Rehabilitation Program, Toronto Rehabilitation Institute/University Health Network, Toronto, Ontario, Canada (Dr Bayley and Ms Kua); Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada (Dr Bayley); Ottawa Hospital Research Institute (OHRI) and University of Ottawa, Ontario, Canada (Dr Marshall); Centre interdisciplinaire de recherche en réadaptation et en intégration sociale (CIRRIS), Université Laval, Quebec City, Quebec, Canada (Mss Marier-Deschênes and Allaire and Dr Lamontagne); Ontario Neurotrauma Foundation (ONF), Toronto, Ontario, Canada (Ms Kagan); Institut national d'excellence en santé et en services sociaux (INESSS), Québec, Canada, Canada (Dr Truchon); Lawson Health Research Institute, St Joseph's Health Care, London, Ontario, Canada (Ms Janzen); and St Joseph's Health Care, University of Western Ontario, London, Ontario, Canada (Dr Teasell).
出版信息
J Head Trauma Rehabil. 2018 Sep/Oct;33(5):285-287. doi: 10.1097/HTR.0000000000000427.
OBJECTIVE
Clinical practice guidelines (CPGs) aim to improve quality and consistency of healthcare services. A Canadian group of researchers, clinicians, and policy makers developed/adapted a CPG for rehabilitation post-moderate to severe traumatic brain injury (MSTBI) to respond to end users' needs in acute care and rehabilitation settings.
METHODS
The rigorous CPG development process began assessing needs and expectations of end users, then appraised existing CPGs, and, during a consensus conference, produced fundamental and priority recommendations. We also surveyed end users' perceptions of implementation gaps to determine future implementation strategies to optimize adherence to the CPG.
RESULTS
The unique bilingual (French and English) CPG consists of 266 recommendations (of which 126 are new recommendations), addressing top priorities for MSTBI, rationale, process indicators, and implementations tools (eg, algorithms and benchmarks).
CONCLUSION
The novel approach of consulting and working with end users to develop a CPG for MSTBI should influence knowledge uptake for clinicians wanting to provide evidence-based care.
目的
临床实践指南（CPG）旨在提高医疗服务的质量和一致性。加拿大的一组研究人员、临床医生和政策制定者针对中度至重度创伤性脑损伤（MSTBI）后的康复制定/改编了 CPG，以满足急性护理和康复环境中终端用户的需求。
方法
严格的 CPG 开发过程始于评估终端用户的需求和期望，然后评估现有的 CPG，并在共识会议上制定基本和优先推荐。我们还调查了终端用户对实施差距的看法，以确定未来的实施策略，以优化对 CPG 的遵守。
结果
独特的双语（法语和英语）CPG 包含 266 条建议（其中 126 条是新建议），针对 MSTBI 的首要重点、基本原理、过程指标和实施工具（例如，算法和基准）。
结论
咨询和与终端用户合作制定 MSTBI CPG 的新方法应该会影响希望提供基于证据的护理的临床医生对知识的接受程度。
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