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紧急心血管护理中的实施挑战

Implementation Challenges in Emergency Cardiovascular Care.

作者信息

O'Halloran Amanda J, Fowler Jessica C

机构信息

Department of Anesthesiology and Critical Care Medicine, University of Pennsylvania, The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA.

Department of Anesthesiology and Critical Care Medicine, University of Pennsylvania, The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA.

出版信息

Crit Care Clin. 2026 Jan;42(1):23-38. doi: 10.1016/j.ccc.2025.08.002. Epub 2025 Oct 13.

Abstract

Cardiac arrest is a significant public health issue, with high associated morbidity and mortality. However, it is a modifiable disease process, with a better chance of a good outcome when high-quality cardiopulmonary resuscitation is provided. Despite clear guidelines, gaps in translating these recommendations into practice remain prevalent. Effective implementation requires addressing these complex sociotechnical scenarios using comprehensive approaches informed by the principles of disciplines such as implementation science (IS). IS, which promotes the systematic uptake of evidence-based practices into routine practice, is well-suited for the challenges of implementation in emergency cardiovascular care and has been underutilized to date.

摘要

心脏骤停是一个重大的公共卫生问题,具有较高的相关发病率和死亡率。然而,它是一个可改变的疾病过程,在提供高质量心肺复苏时,有更好的机会获得良好的结果。尽管有明确的指南,但将这些建议转化为实践的差距仍然普遍存在。有效的实施需要采用综合方法来应对这些复杂的社会技术情况,这些方法以实施科学(IS)等学科的原则为依据。IS促进将循证实践系统地纳入常规实践,非常适合应对紧急心血管护理中的实施挑战,但迄今为止尚未得到充分利用。

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