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首页> 外文期刊>Evidence-based nursing >Using a FOCUS-PDCA quality improvement model for applying the severe traumatic brain injury guidelines to practice: process and outcomes
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Using a FOCUS-PDCA quality improvement model for applying the severe traumatic brain injury guidelines to practice: process and outcomes

机译：使用FOCUS-PDCA质量改进模型将严重的颅脑损伤准则应用于实践：过程和结果

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摘要

Trauma teams strive to provide care based on best practice. Exploring the clinical outcomes of patients sustaining severe traumatic brain injury (TBI) at our trauma centre from 1994-97 we found that the outcomes were marginal at best: 43% of our patients expired and 30% suffered severe disability. These results were consistent with those of some studies on TBI published in the 1980s. Researchers in the past decade have used new technology for monitoring the effects of secondary brain injury and examined the effects of various treatment modalities on the outcomes of patients with TBI. In 1995, the American Association of Neurological Surgeons (AANS) evidence-based clinical guidelines for managing severe TBI were published.1 The guidelines recommended changes in the care of patients with TBI and challenged caregivers to evaluate their practices and examine the clinical outcomes of this high risk group.
机译：创伤团队努力根据最佳实践提供护理。在1994-97年期间，我们在创伤中心研究了遭受严重创伤性脑损伤（TBI）的患者的临床结局，我们发现该结局充其量是微不足道的：43％的患者已死亡，30％的患者患有严重残疾。这些结果与1980年代发表的有关TBI的一些研究结果一致。在过去的十年中，研究人员已使用新技术监测继发性脑损伤的效果，并研究了各种治疗方式对TBI患者预后的影响。 1995年，美国神经外科医师协会（AANS）提出了以证据为基础的重度TBI管理临床指南。1该指南建议改变TBI患者的护理，并向护理人员提出挑战，以评估他们的做法并检查其临床结果。高危人群。

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