Recomendaciones de «No hacer» en el tratamiento de los pacientes críticos de los Comités Científicos de la Sociedad Colombiana de Medicina Crítica y Cuidados Intensivos (AMCI)

Victor Hugo Nieto Estrada , Bladimir Alejandro Gil Valencia , Manuel Garay-Fernandez , Francisco José Molina Saldarriaga , Rubén Dario Camargo Rubio , Carmelo Dueñas Castell , Camilo Pizarro Gómez , Fernando José Pereira Paternina , Peter Vergara Ramírez , Jorge Armando Carrizosa González , Daniel Leonardo Molano Franco , Ever Leonardo Rojas Díaz , Diana Patricia Borre Naranjo , Liliana Paola Correa Pérez , Carmen Lorena Gómez Vanegas , Martha Liliana Sánchez Lozano , Camilo Andrés Bello Muñoz , Erick Alexander Borja Large , Sandra Ximena Olaya Garay , Juan David Uribe Molano , Angelica Lizarazo
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Abstract

The Colombian Association of Critical Medicine and Intensive Care (AMCI) has initiated a project to identify and reduce unnecessary interventions in Intensive Care Units (ICU) to optimize resource use, minimize patient risks, and improve clinical outcomes. Led by AMCI, scientific committee leaders reviewed updated scientific evidence and best clinical practices to develop a series of “Do Not Do” recommendations. These recommendations were based on formal consensus using the Delphi technique to avoid routine procedures and behaviors that provide no value or could harm critically ill patients. The recommendations were developed with specific PICO questions by each committee and underwent a systematic literature review. A digital questionnaire was created, allowing anonymous voting, and a consensus of over 75% was achieved for all recommendations. The five most voted recommendations from the Patient Safety, Sepsis, MEGAN, Interdisciplinary Rehabilitation and Mental Health, and Critical Pneumology committees were selected to be part of the national Choosing Wisely strategy, aiming to promote resource optimization and improve the quality of care in Colombian ICUs. These recommendations are key to reducing unnecessary interventions and improving ICU care standards.
哥伦比亚重症监护和重症监护学会科学委员会关于在治疗危重病人方面“不要做”的建议
哥伦比亚重症医学和重症监护协会(AMCI)启动了一个项目,以确定和减少重症监护病房(ICU)的不必要干预措施,以优化资源利用,最大限度地降低患者风险,并改善临床结果。在AMCI的领导下,科学委员会领导人审查了最新的科学证据和最佳临床实践,以制定一系列“不做”建议。这些建议是基于使用德尔菲技术的正式共识,以避免没有价值或可能伤害危重患者的常规程序和行为。这些建议是由每个委员会根据具体的PICO问题制定的,并经过了系统的文献审查。创建了一份数字问卷,允许匿名投票,所有建议的共识率超过75%。来自患者安全、败血症、梅根、跨学科康复和心理健康以及关键肺炎委员会的五项投票最多的建议被选为国家明智选择战略的一部分,旨在促进资源优化并提高哥伦比亚icu的护理质量。这些建议是减少不必要干预和提高ICU护理标准的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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