临床决策支持工具在产妇环境中的可接受性和使用:对定性研究的系统审查
Valencia Kabeya1, Saba Tariq2, Amy Delicate3
1Department of Metabolism and Systems Science, College of Medicine and Health, University of Birmingham, United Kingdom; Patient Safety Research Collaboration, University of Birmingham, United Kingdom.
European journal of obstetrics, gynecology, and reproductive biology
|September 14, 2025
概括
临床决策支持工具 (CDST) 在产妇护理中是可以接受的,帮助医疗保健提供者进行风险评估. 解决培训和技术等障碍是最大限度地提高其有效性的关键,以改善孕产妇和产前期的结果.
科学领域:
- 孕产妇健康 孕产妇健康
- 临床信息学 临床信息学
- 医疗保健技术 技术 医疗保健 技术
背景情况:
- 可预防的孕产妇和产周死亡往往是由于未能识别和管理风险造成的.
- 临床决策支持工具 (CDST) 旨在改善医疗保健中的风险评估和临床管理.
- 人们担心CDST可能会导致认知过载,但不会增强决策能力.
研究的目的:
- 系统地审查影响CDST在产妇环境中的可接受性,可用性和有效性的因素.
- 识别助手和障碍在产科护理中实施CDST的障碍.
主要方法:
- 使用六个数据库进行了对定性研究的系统审查.
- 如果这些研究报告了CDST在产妇环境中的可接受性,可用性或有效性,则将这些研究纳入.
- 专题分析用于数据分析,独立审查和质量评估.
主要成果:
- 包括16项涉及1639名来自低收入和高收入国家的女性的研究.
- 发现CDST对医疗保健专业人员和孕妇来说是可以接受的,支持改善决策.
- 关键的促进因素包括培训和透明度,而障碍则涉及计算机素养和语言.
结论:
- 通过及时进行风险评估,CDST可以提高产妇护理质量.
- 考虑已识别的促进者和障碍对成功设计和实施CDST至关重要.
- 优化CDST可以最大限度地提高它们的可接受性,可用性和有效性,从而改善孕产妇和产前期的结果.
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