紧急情况部门的临床质量注册表:一个范围审查
Viet Tran1,2,3,4, Giles Barrington1,2,4, Simone Page1,2,3
1Royal Hobart Hospital, Tasmanian Health Service, Hobart 7000, Australia.
Healthcare (Basel, Switzerland)
|May 14, 2025
概括
这次范围审查发现文献中存在各种各样的急诊部 (ED) 临床注册表. 需要采用标准化的方法来提高护理质量测量,并将ED注册表纳入学习健康系统.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 紧急医疗 紧急医疗
背景情况:
- 紧急诊所 (ED) 是对不分化和重症患者的关键入口.
- 尽管数字健康和电子医疗记录取得了进展,但ED临床注册表的质量测量格局仍然不清楚.
- 这项研究解决了有关ED临床注册表在已发表文献中的存在和范围的知识差距.
研究的目的:
- 进行范围审查,以确定在同行评审文献中报告的急诊部临床注册表的范围.
- 确定现有的ED注册表的特点,范围和资金.
- 突出ED注册表出版物的异质性,并为未来的标准化工作提供信息.
主要方法:
- 根据PRISMA-ScR检查清单进行了全面的范围审查.
- 在主要的数据库中进行了搜索:PubMed,EMBASE和SCOPUS.
- 包括描述ED重点临床注册表的研究.
主要成果:
- 鉴定了60个手稿,详细介绍了27个主要注册表 (6个一般,21个特定) 和33份调查报告.
- 资金来源各不相同,其中包括研究资助,政府倡议和医学院.
- 注册的持续时间有很大的不同,平均为365天,通过灰色文献搜索发现有6个注册正在进行中.
结论:
- 在全球范围内,在初级和二级急救部门的注册公开资料中存在显著的异质性.
- 显然需要一种标准化的方法来开发和报告ED注册表.
- 将ED注册表整合到学习健康系统模型中,可以将重点转向积极的质量改善和以社区为中心的护理.
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