医疗机构中结核病筛查和检测错失机会的原因。
Reasons for missed opportunities to screen and test for TB in healthcare facilities.
作者信息
de Vos L, Mazinyo E, Bezuidenhout D, Ngcelwane N, Mandell D S, Schriger S H, Daniels J, Medina-Marino A
机构信息
Research Unit, Foundation for Professional Development, East London, South Africa.
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
出版信息
Public Health Action. 2022 Dec 21;12(4):171-173. doi: 10.5588/pha.22.0042.
Missed opportunities for TB screening and/or passive testing in clinics continues to contribute to the number of missed cases. To understand reasons for these missed opportunities, we conducted focus group discussions with clinic-based nurses. Nurses described low indices of suspicion, prioritization of seemingly more urgent ailments and clinic operational challenges as barriers to TB screening and testing. To improve TB screening and testing in clinics, standard patients should be used to identify real-time factors that impact nurses' clinical decision-making and engage in real-time feedback and discussion with nurses to help optimize opportunities for TB screening and testing.
诊所中结核病筛查和/或被动检测机会的错失持续导致病例的漏诊。为了解这些错失机会的原因，我们与诊所护士进行了焦点小组讨论。护士们将低怀疑指数、对看似更紧急疾病的优先处理以及诊所运营挑战描述为结核病筛查和检测的障碍。为改善诊所中的结核病筛查和检测，应使用标准患者来识别影响护士临床决策的实时因素，并与护士进行实时反馈和讨论，以帮助优化结核病筛查和检测的机会。
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