使用国家级ICU注册表数据评估关键护理的提供
George Kasotakis1, Akira Kuriyama2, Norma Smalls3
1Department of Surgery, Division of Trauma and Acute Care Surgery, INOVA Fairfax Medical Center, University of Virginia, Falls Church, VA.
本次综述强调了30个拥有国家重症监护单位 (ICU) 登记册的国家,为美国提供了一个模型,为质量改进和研究开发统一的重症监护数据库.
科学领域:
- 关键护理医学 关键护理医学
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
背景情况:
- 美国缺乏针对重症监护的全面国家数据库.
- 现有的国家重症监护室 (ICU) 注册表在全球范围内有所不同.
研究的目的:
- 对已建立的国家ICU数据库进行范围审查.
- 描述重症监护和数据收集的国际模式.
主要方法:
- 在 MEDLINE,Embase 和 Web of Science 的系统文献搜索.
- 包括任何语言描述国家重症监护服务的项目.
- 提取数据库特征:ICU类型,建立年份,数据输入和变量.
主要成果:
- 包括185个手稿,确定了30个国家拥有国家ICU注册表的国家.
- 登记册捕获各种数据:人口统计,生命体征,并发病,诊断,治疗,严重程度得分和结果.
- 数据输入通常将自动抽象和手动输入与验证相结合.
结论:
- 成熟的国家ICU注册表为开发美国计划提供了宝贵的见解.
- 这样的计划可以促进基准测试,需求评估,质量改进和研究.
- 国际经验可以指导建立一个统一的美国重症监护数据库.
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