确定临床决策支持系统的数据元素和功能,为新生儿和儿科提供药物:系统文献审查
Somaye Norouzi1, Zahra Galavi1, Leila Ahmadian2
1Department of Health Information Sciences, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran.
BMC medical informatics and decision making
|November 17, 2023
概括
药物管理临床决策支持系统 (MACDSS) 对于减少儿童药物不良事件至关重要. 这次审查确定了MACDSS开发的关键数据元素和功能,突出了对现实世界的评估的需求.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 儿童患者的安全性
- 临床决策支持系统 临床决策支持系统
背景情况:
- 药物不良事件 (ADEs) 对患者的安全构成重大风险,特别是在儿科和新生儿群体中.
- 药物给药阶段是预防儿童错误的一个关键点.
- 药物管理临床决策支持系统 (MACDSS) 对于降低ADE率至关重要.
研究的目的:
- 对新生儿和儿科的MACDSS进行文献审查.
- 识别和分类与快速医疗互操作资源 (FHIR) 标准映射的数据元素.
- 分析现有MACDSS的功能,以指导未来的研究.
主要方法:
- 在PubMed/MEDLINE,Embase,CINAHL和ProQuest数据库 (1995-2021) 中进行了全面的文献搜索.
- 包括专注于为儿科和新生儿群体开发或应用药物管理软件的研究.
- 数据元素被提取并映射到FHIR标准,并分析了系统的功能.
主要成果:
- 在4,856篇初步论文中,有12篇被纳入分析.
- 在经过审查的MACDSS中,共发现了84个独特的数据元素和18个不同的功能.
- 只有三项研究在现实临床环境中评估了他们的系统.
结论:
- 识别和标准化数据元素和功能可以提高MACDSS的性能.
- 对MACDSS在儿科和新生儿护理中的实际应用和评估进行更多研究是非常必要的.
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