在急性护理中实施电子健康记录后研究药物安全性的方法:范围审查
Nichole Pereira1,2, Jonathan P Duff2,3, Tracy Hayward4
1Faculty of Health Sciences, Health Quality Program, Queen's University, Kingston, ON K7L 3N6, Canada.
Journal of the American Medical Informatics Association : JAMIA
|December 1, 2023
概括
这次范围审查发现电子健康记录 (EHR) 实施后研究药物安全性的方法不一致. 提出了一个概念模型,以标准化未来的研究设计和改进数据合成.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 药物安全研究 药物安全研究
背景情况:
- 电子健康记录 (EHR) 在医疗保健中得到广泛应用.
- 研究EHR实施后的药物安全性对于患者的治疗结果至关重要.
- 现有的研究缺乏方法的一致性.
研究的目的:
- 在EHR实施后,绘制和分析用于研究药物安全性的方法.
- 识别当前研究方法中的模式和差距.
- 为未来的研究提出一个更为一致的框架.
主要方法:
- 使用乔安娜·布里格斯研究所方法的范围审查.
- 数据提取的重点是研究人口统计,设计,数据来源,措施,分析,限制和安全视角.
- 选了5879件物品,其中包括27件用于完全提取.
主要成果:
- 在研究设计 (3种类型),设置 (7种类型) 和数据源 (10种类型) 中观察到显著的异质性.
- 没有一项研究共享设计,数据源,研究周期和设置的一致组合.
- 药物安全性的结果措施在各个研究中定义和测量不一致.
- 安全-I观点占主导地位,只有一个研究采用了安全-II方法.
结论:
- 研究方法的不一致性阻碍了EHR实施后药物安全发现的聚合和综合.
- 缺乏标准化的方法使研究结果的解释变得复杂.
- 一个拟议的概念模型旨在指导未来的研究以一种更一致和更强大的方法.
相关概念视频
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