Implementation Science Research in Pediatric Critical Care Medicine.

Implementation Science Research in Pediatric Critical Care Medicine.
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儿科重症监护医学的实施科学研究。

DOI:
10.1097/pcc.0000000000003335
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发表时间:
2023
期刊:
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
影响因子:
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通讯作者:
ExcellenceinPediatricImplementationScience(ECLIPSE)forthePediatricAcuteLungInjury
ExcellenceinPediatricImplementationScience(ECLIPSE)forthePediatricAcuteLungInjury
中科院分区:
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文献类型:
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作者:
Woods-Hill,CharlotteZ;Wolfe,Heather;Malone,Sara;Steffen,KatherineM;Agulnik,Asya;Flaherty,BrianF;Barbaro,RyanP;Dewan,Maya;Kudchadkar,SapnaR;ExcellenceinPediatricImplementationScience(ECLIPSE)forthePediatricAcuteLungInjury

文献摘要

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注意事项:在常规临床护理中延迟或未能始终如一地采用基于证据或基于共识的最佳实践是常见的,包括PICU中的患者。PICU患者可能无法接受潜在有益的诊断或治疗干预,加重了危重病期间的疾病和损伤负担。实施科学(IS)已经出现,系统地解决这个问题,但它的使用在儿科重症监护病房一直有限的日期。因此,我们提出了一个概念和方法论的概述,是儿科intensivist.DESIGN:卓越的儿科实施科学(ECLIPSE的一部分,儿科急性肺损伤和败血症调查网络)的成员代表多机构的专业知识,在使用的是在PICU。这篇叙述性综述反映了ECLIPSE小组的集体知识和观点,即为什么IS可以使PICU患者受益,如何区分IS与质量改进(QI),以及如何评价IS文章。
OBJECTIVES:Delay or failure to consistently adopt evidence-based or consensus-based best practices into routine clinical care is common, including for patients in the PICU. PICU patients can fail to receive potentially beneficial diagnostic or therapeutic interventions, worsening the burden of illness and injury during critical illness. Implementation science (IS) has emerged to systematically address this problem, but its use of in the PICU has been limited to date. We therefore present a conceptual and methodologic overview of IS for the pediatric intensivist.DESIGN:The members of Excellence in Pediatric Implementation Science (ECLIPSE; part of the Pediatric Acute Lung Injury and Sepsis Investigators Network) represent multi-institutional expertise in the use of IS in the PICU. This narrative review reflects the collective knowledge and perspective of the ECLIPSE group about why IS can benefit PICU patients, how to distinguish IS from quality improvement (QI), and how to evaluate an IS article.RESULTS: