数字上的安全性:对患者普查和患者结果的全面审查
Christine Wu1, James C Etheridge1, Manuel Castillo-Angeles2
1From the Department of Surgery, Brigham and Women's Hospital, Boston, MA.
患者普查显著影响居民的教育,福祉和患者护理. 然而,目前关于患者普查如何影响结果的研究是有限和多样化的.
科学领域:
- 医学教育 医学教育
- 患者护理 患者护理
- 医疗保健管理的管理
背景情况:
- 居民工作量是影响居民教育,福祉和患者护理的关键因素.
- 工作负载的组成部分,如值班时间和患者普查,具有复杂的相互作用,尚未完全理解.
- 患者普查对患者结果的具体影响需要进一步调查.
研究的目的:
- 进行范围审查,调查患者普查对患者结果的影响.
- 探索患者普查与居民工作负载的各个方面之间的关系.
主要方法:
- 在2022年4月,在多个数据库中进行了全面的文献搜索.
- 包括来自美国的英语研究,检查住院服务普查对患者结果的影响.
- 数据提取的重点是研究特征,人口普查细节,患者结果和干预使用.
主要成果:
- 13篇文章符合纳入标准,其中大部分发表于2003年以后.
- 研究完全来自内部医学计划,检查结果,如再入院,停留时间,死亡率和患者满意度.
- 在五项研究中指出了优化人口普查的干预措施,例如增加居民或实施上限.
- 关于人口普查如何影响患者的结果的研究结果因文献稀缺和异质性而变化.
结论:
- 缺乏对患者统计对患者结果和工作负载的影响的全面理解,特别是在外科专业中.
- 需要进一步的研究来阐明工作负载的复杂性,并比较外科和非外科专业之间的差异.
- 评估工作负载对居民教育,福祉和患者护理的影响至关重要.
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