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首页> 外文期刊>Italian Journal of Medicine >Multi-professional audit supports clinical governance in projecting and implementing a new stroke care area
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Multi-professional audit supports clinical governance in projecting and implementing a new stroke care area

机译：多职业审计支持投影和实施新的中风护理区域的临床治理

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Patients with acute stroke have better outcomes in terms of survival or regaining independence if they receive organized inpatient care in a specific setting (Stroke Unit, SU) where a coordinated multidisciplinary team can ensure the best level of care. The clinical governance of an SU requires a systematic monitoring of diagnostic, clinical and therapeutic processes through a structured audit. The entire project and set up of a new SU in Bentivoglio, Italy, were based on a model that focused on multidisciplinary teamwork and clinical governance. An audit based on the Benjamin audit cycle followed every step of the set up of the new SU. Markers from national and international guidelines and from the Italian Regional Audit, together with a specific database were used. The audit showed a high level of care and a significant improvement in the majority of clinical, diagnostic and therapeutic parameters. Only a few markers ( i.e. waiting times for ultrasound tomography and prescription of oral anticoagulation therapy) required specific projects in order to improve the results. Our experience confirmed that a structured audit can support clinical governance of an SU by monitoring clinical processes and quality of care. Such an audit involves the whole professional team and shows the effects of any single actions. It also helps integration and co-operation among staff. Furthermore, a structured audit is a useful instrument for professional accountability for both qualitative and quantitative aspects of care.
机译：急性中风的患者在生存或恢复独立方面具有更好的结果，如果他们在特定环境中获得有组织的住院护理（笔划单元，SU），那么协调多学科团队可以确保最佳的护理水平。 SU的临床治理需要通过结构化审核来系统地监测诊断，临床和治疗过程。整个项目和在意大利Bentivoglio的新苏，基于一个专注于多学科团队合作和临床治理的模型。基于本杰明审计周期的审计遵循新SU的每一步。使用国家和国际指南和意大利区域审计的标记与特定数据库一起使用。审计表明，大多数临床，诊断和治疗参数的大部分疗养和显着改善。只有几个标记（即，等待时间用于超声波断层扫描和口服抗凝治疗的处方）所需的项目，以改善结果。我们的经验证实，结构化审计可以通过监测临床过程和护理质量来支持SU的临床治理。这样的审计涉及整个专业团队并显示任何单一行动的影响。它还有助于员工之间的整合和合作。此外，结构化审计是专业责任的有用仪器，可针对定性和量化的护理方面。

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