用行政数据用于监督目的的障碍和促进因素:叙事概述
V Boulanger1, A MacLaurin2, C Quach3
1Department of Microbiology, Infectious Diseases, and Immunology, Faculty of Medicine, University of Montreal, CHU Sainte-Justine, 3175 ch de la Côte Ste-Catherine, Montreal, QC, H3T 1C5, Canada; Research Center, CHU Sainte Justine, Montreal, Canada.
The Journal of hospital infection
|October 25, 2024
概括
行政数据对于公共卫生监测至关重要,包括监测医疗相关感染 (HAI). 这次审查确定了许多障碍和促进者,以有效地使用这些数据在加拿大监视.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 行政数据虽然不是为监控而设计的,但广泛用于公共卫生监测和患者安全.
- 加拿大的医疗保健相关感染 (HAI) 监测通常依赖于行政数据.
- 在优化公共卫生监督管理数据的使用方面存在挑战.
研究的目的:
- 为监督中使用行政数据的障碍和促进者提供叙事概述.
- 专注于加拿大卫生保健相关感染 (HAI) 监测的行政数据的应用.
- 为提高行政数据的使用和质量提供实际建议.
主要方法:
- 采用了一个叙事概述方法.
- 在Medline,Embase和Google Scholar中进行了搜索,并通过参考列表审查进行了补充.
- 包括专注于一般行政数据或HAI监督的文章;验证研究和元分析被排除在外.
- 总共有90篇文章被纳入分析.
主要成果:
- 在个人,组织和系统层面确定了78个不同的管理数据利用障碍.
- 概述了75个促进者和潜在的解决方案,以提高行政数据的质量和使用.
- 强调将行政数据整合到强大的监控系统中的复杂性.
结论:
- 了解所识别的障碍和促进因素是改善行政数据使用的关键.
- 实际建议可以指导利益相关者优化公共卫生监测的行政数据.
- 更好地利用行政数据可以加强对公共卫生和患者安全的监测,特别是在加拿大的HAI.
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