通过利用管理战略实施实践指南:潜力与挑战

QRB. Quality review bulletin Pub Date : 1992-12-01 Epub Date: 2016-12-20 DOI:10.1016/S0097-5990(16)30573-5
A. Gray Ellrodt MD (Director of Division of General Internal Medicine), Laura Conner RN (Research Nurse), Mary S. Riedinger RN (Research Associate), Scott Weingarten MD, MPH (Director of Health Services Research)
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引用次数: 12

摘要

尽管目前对实践指南有很大的热情,但在它们的开发上花费的精力和资源远远多于在它们的实施上。一项前瞻性介入试验采用先前验证的明确实践指南(辅助决策)进行,以减少选定的“低风险”胸痛患者的住院时间。选择利用管理(UM)协调员(rn)和医生来实施指南,因为大多数医院都有这些资源人员,可以推广经验。通过对624例患者使用明确的评价标准,发现当UM协调员应用该指南时,其敏感性为0.85,特异性为0.90,阳性预测值为0.76,阴性预测值为0.94。在51%的时间里,主治医生未能推翻错误分类的低风险患者建议。隐性评价认为,理论上,两名患者的预后可能会恶化。然而,入院后30天的随访显示,根据指南错误分类出院的患者没有不良后遗症。在大多数机构中,利用管理似乎是一种很有前途的指导方针实施机制。但是,应该严格评估统一管理协调员执行指导方针的准确性。指南应在一个相互制衡的环境中实施,在这种环境中,医生对患者的护理负有最终责任。
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