紧急部门观察单位:一个范围审查
Rebecca Goodwin1, John Cyrus2, Radina L Lilova3
1Department of Emergency and Internal Medicine Virginia Commonwealth University Richmond Virginia USA.
Journal of the American College of Emergency Physicians open
|August 12, 2024
概括
本次审查强调,虽然紧急观察单位经常研究心脏病状况和财务状况,但缺乏对人员配置模型和其他诊断的研究. 未来的研究应该解决观察医学中的这些差距.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 专用紧急观察单位越来越多地用于患者管理.
- 现有的研究往往侧重于诊断和财务影响等特定方面.
研究的目的:
- 对紧急观察单位的研究进行范围审查.
- 确定有关患者护理,诊断,临床结果,财务和卫生系统比较的知识差距.
主要方法:
- 该审查遵循了乔安娜·布里格斯研究所 (JBI) 的方法.
- 搜索的数据库包括MEDLINE/PubMed,Embase和CINAHL,并补充了科学网络的灰色文学.
- 两个独立的审查员选和提取数据,并通过共识或仲裁解决差异.
主要成果:
- 461篇文章符合纳入标准,其中大多数专注于心脏病诊断 (24%) 和成年人群 (70%).
- 常见的结果指标包括停留时间 (41%) 和发病/死亡率 (41%).
- 很少有研究涉及人员配置模型 (26%),而医院财务 (35%) 和与其他观察方法 (26%) 的比较更为常见.
结论:
- 关于紧急观察单位的研究经常涉及报销和心脏病.
- 关于人员配置模型和更广泛的诊断范围的研究显著缺乏.
- 该审查确定了观察医学未来研究的关键领域,以解决这些发现的差距.
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