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Dissemination and Implementation of Evidence Based Best Practice Across the High Value Healthcare Collaborative (HVHC) Using Sepsis as a Prototype – Rapidly Learning from Others

机译：在以败血症为原型的高价值医疗合作组织（HVHC）中传播和实施循证最佳实践–快速向其他人学习

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The dissemination of evidence-based best practice through the entire health care system remains an elusive goal, despite public pressure and regulatory guidance. Many patients do not receive the same quality of care at different hospitals across the same health care system. We describe the role of a data driven learning collaborative, the High Value Healthcare Collaborative (HVHC), in the dissemination of best practice using adherence to the 3-hour-bundle for sepsis care. Compliance with and adoption of sepsis bundle care elements comparing sites with mature vs non-mature care delivery processes were measured during the improvement effort for a cohort of 20,758 patients. Non-mature sites increased their bundle compliance from 71.0 to 86.7 percent (p < 0.005). This compliance increase was primarily based on increased compliance with the fluid element of the bundle that improved for non-mature locations from 76.4 to 94.0 percent (p < 0.005).
机译：尽管有公众压力和法规指导，但在整个医疗体系中传播基于证据的最佳实践仍然是一个遥不可及的目标。在同一卫生保健系统中，许多患者在不同医院所获得的医疗质量不同。我们描述了数据驱动学习协作的作用，即高价值医疗协作（HVHC），在坚持使用3小时套装进行败血症护理的最佳实践传播中的作用。在为20,758名患者进行的改善努力中，对脓毒症包护理要素的依从性和采用情况进行了比较，比较了具有成熟与非成熟护理分娩过程的部位。非成熟站点的捆绑包遵从性从71.0％提高到86.7％（p <0.005）。顺应性的提高主要是基于对束中流体元件顺应性的提高，对于非成熟部位，顺应性从76.4％提高到94.0％（p <0.005）。

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