实施和采用计算机化临床决策支持系统的障碍和促进因素:一个综合审查协议
Anna Katharina Böhm-Hustede1, Johanna Sophie Lubasch2, Anna Thalea Hoogestraat3
1Big Data in Medicine, Carl von Ossietzky Universität Oldenburg, Ammerländer Heerstraße 114-118, 26129, Oldenburg, Germany. anna.katharina.boehm-hustede@uni-oldenburg.de.
Systematic reviews
|January 3, 2025
概括
本综合性综述综合了现有研究,以确定影响医疗保健中临床决策支持系统采用的障碍和促进者. 调查结果将为改进系统实施和患者护理的策略提供信息.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持系统 临床决策支持系统
- 医疗保健管理的管理
背景情况:
- 计算机化临床决策支持系统 (CDSS) 提供了改善患者安全,从业人员表现和健康结果的巨大潜力.
- 尽管有公认的优势,但CDSS在医疗保健机构的广泛采用仍然有限,这阻碍了充分实现其益处.
- 了解影响CDSS实施和采用的因素对于最大限度地发挥其影响至关重要.
研究的目的:
- 进行一项综合性审查,综合现有的文献审查,以了解CDSS实施和采用障碍和促进者的障碍.
- 为影响CDSS在各种医疗环境中的成功集成提供了影响CDSS成功集成因素的全面概述.
- 为制定有效策略提供信息,以促进CDSS的采用和利用.
主要方法:
- 遵守系统审查和元分析协议 (PRISMA-P) 准则的优先报告项目.
- 在四个主要的文献数据库 (PubMed/MEDLINE,IEEE Xplore,Scopus,Web of Science) 进行系统的搜索.
- 独立选,偏见风险评估,数据提取,以及从包含的审查中对已识别的障碍和促进者的专题分类.
主要成果:
- 识别和综合阻碍CDSS实施和采用的主要障碍.
- 识别和综合促进CDSS实施和采用的关键促进者.
- 根据因素的频率在包括的审查中对因素的优先考虑,以指导未来的战略.
结论:
- 总体审查将产生对影响CDSS实施的障碍和促进者的全面了解.
- 调查结果将支持制定有针对性的战略,以克服采用挑战,并利用促进因素.
- 这项研究旨在加强CDSS的有效利用,最终改善医疗保健提供和患者的结果.
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