医院环境中的决策疲劳:一个范围审查
Kelsey Perry1, Sarah Jones2, Julia C Stumpff3
1Medicine-Pediatrics Residency, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Journal of hospital medicine
|November 11, 2024
概括
决策疲劳 (DF) 损害了决策能力. 这次审查发现医院DF的证据有限,不一致,强调需要对影响因素和标准化结果措施进行更多研究.
科学领域:
- 医疗决策的制定 医疗决策的制定
- 临床心理学 临床心理学
- 医疗保健管理的管理
背景情况:
- 决策疲劳 (DF) 是许多决策后决策质量的下降.
- 在临床环境中了解DF对于患者安全和医疗保健效率至关重要.
研究的目的:
- 对在住院医疗保健机构中检查决策疲劳的研究进行范围审查.
- 确定和描述医院内关于决策疲劳的现有研究.
主要方法:
- 在六个数据库中搜索了2000年以后以英语出版的研究.
- 包括专注于临床决策的研究与决策顺序机制.
- 进行手动和前引用搜索,以确保全面的数据检索.
主要成果:
- 16项研究符合从12781个初始引用中包含的标准.
- 紧急医疗和重症监护是主要设置;医院医疗研究缺席.
- 资源利用决策是最常见的,但下游结果和决策质量很少被评估.
- 关于DF影响的发现是不一致的,临床医生,患者或工作环境因素的探索有限.
结论:
- 临床医生,患者和工作环境因素对DF的影响需要进一步调查.
- 需要标准化的方法来评估决策质量和资源利用率与预先规定的标准相比.
- 进一步的研究应该解释临床环境中的决策背景,以更好地了解DF.
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