工艺与制造英文2020被引 2
儿科中心静脉置管术前评估的标准化
Standardizing Preoperative Evaluation for Pediatric Central Venous Access
Monica L. Wagner, Darcy Doellman, Kimberly N. Forlenza, Kevin Fischer, Setenay Tuncel Kara, Ursula Bradshaw, Richard A. Falcone
摘要整理
中心静脉置管装置（CVAD）置入是儿科常见手术。选择CVAD时应基于现有证据和明确的临床指征，选择最能支持患者治疗且风险最低的装置。一个多学科团队开发了护理算法，以标准化儿科CVAD置入术前筛查，包括3个主要部分：CVAD选择、患者风险分层和术前评估。通过分步实施医护人员教育和电子健康记录系统集成，该团队在住院患者中实现了82%的风险分层覆盖率。该算法整合了现有文献和安全有效CVAD置入的临床建议，为规范化的术前评估流程提供了系统性指导。通过建立标准化的评估体系，可以优化CVAD选择决策，降低置管相关并发症风险，改善患者预后。该研究为儿科血管介入领域的质量改进和临床规范化提供了重要参考。
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