对创伤系统的系统性文献审查:从运营管理的角度来看
Zihao Wang1, Bahman Rostami-Tabar1, Jane Haider1
1Cardiff Business School, Cardiff University, Cardiff, UK.
Advances in rehabilitation science and practice
|January 20, 2025
概括
将操作管理 (OM) 整合到创伤系统中可以提高效率和患者的治疗结果. 目前专注于分拣和死亡率的指标是不够的;为了获得最佳的创伤护理,需要扩展住院时间和康复等措施.
科学领域:
- 医疗保健运营管理 医疗保健运营管理
- 创伤系统性能 创伤系统性能
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 创伤系统提供全面的护理,但缺乏运营管理研究.
- 操作管理 (OM) 技术可以优化创伤系统的效率和患者的结果.
- 这项研究解决了创伤护理操作创新的需要.
研究的目的:
- 探索创伤系统中运营管理 (OM) 技术的整合.
- 提高创伤护理提供效率和有效性.
- 通过优化系统性能来改善患者的治疗结果.
主要方法:
- 使用PICOTS框架进行系统的文献综述.
- 在5个数据库中搜索了2006-2024年间关于创伤系统和紧急管理的文章.
- 应用Donabedian的框架来分析结构,过程和结果的维度.
主要成果:
- 系统性审查包括了160项研究.
- 结构元素包括设施位置和EMS物流;流程指标侧重于分拣和及时性.
- 以结果为导向的研究主要评估死亡率.
结论:
- 目前的创伤系统评估指标 (分离,死亡率) 是不充分的.
- 提议扩大指标,包括患者停留时间 (LOS) 和康复轨迹.
- 对LOS建模和康复数据的进一步研究对于优化创伤护理至关重要.
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