[1]黄安乐卜子涵薛梦婷李青云宋玉磊柏亚妹徐桂华.护理临床决策支持系统的评价研究[J].中国卫生质量管理,2021,28(01):042-45.[doi:10.13912/j.cnki.chqm.2021.28.1.12 ]
 HUANG Anle,BU Zihan,XUE Mengting.Evaluation Research on Nursing Clinical Decision Support System[J].Chinese Health Quality Management,2021,28(01):042-45.[doi:10.13912/j.cnki.chqm.2021.28.1.12 ]
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护理临床决策支持系统的评价研究
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第28卷
期数:
2021年01期
页码:
042-45
栏目:
护理质量
出版日期:
2021-01-28

文章信息/Info

Title:
Evaluation Research on Nursing Clinical Decision Support System
作者:
黄安乐卜子涵薛梦婷李青云宋玉磊柏亚妹徐桂华
南京中医药大学
Author(s):
HUANG AnleBU ZihanXUE Mengting
Nanjing University of Chinese Medicine
关键词:
临床决策支持系统护理实践系统评价护理质量
Keywords:
Clinical Decision Support System Nursing Practice Systematic ReviewNursing Quality
分类号:
R47
DOI:
10.13912/j.cnki.chqm.2021.28.1.12
文献标志码:
A
摘要:
目的系统评价临床决策支持系统对护理实践的影响。方法利用计算机检索中英文数据库关于临床决策支持系统影响护理实践的干预性研究,检索时限为建库至2019年9月。采用澳大利亚JBI循证卫生保健中心质量评价手册(2016)评价文献质量,运用分类归纳法提取和整合结果。结果共纳入33篇文献,归纳出3类共9项结局指标。临床决策支持系统在护理程序、护士实践环境、批判性思维、患者安全、患者生活质量和护理服务资源等方面具有积极影响,对患者健康水平无明显作用,对经济资源和时间资源存在混合影响。结论临床决策支持系统对护理实践和患者结局发挥积极作用,但仍存在不足,需不断完善。
Abstract:
ObjectiveTo systematically review the effect of clinical decision support system on nursing practice. MethodsThe interventional studies of clinical decision support system on nursing practice were retrieved from Chinese and English databases from establishment of the database to September 2019. The Joanna Briggs Institute's Critical Appraisal Tool (2016) was used to evaluate the quality of studies,and the results were synthesizedby classification induction.ResultsA total of 33 literatures were included, and a total of 9 outcome indicators were summarized in 3 categories.Clinical decision support system had a positive impact on nursing process, nurses' practice environment, critical thinking, patient safety, patient quality of life and nursing services resources. It had no significant effect on patients' health level, and had mixed impact on time resources and economic resources.Conclusion Clinical decision support system played a positive role in nursing practice and patient outcomes, but the system remained to be improved due to multiple shortcomings.

参考文献/References:

[1]刘晓娜,潘红英.护理决策支持系统的应用进展[J].中华护理杂志,2018,53(6):735-739. [2]临床决策支持系统[J].中国护理管理,2018,18(11):1497. [3]赵永信,顾莺,张晓波,等.临床决策支持系统在护理领域中的应用研究进展[J].中国实用护理杂志,2019,35(11):877-881. [4]Müller-Staub M, De Graaf-Waar H, Paans W.An internationally consented standard for nursing process-clinical decision support systems in electronic health records[J].Comput Inform Nurs,2016,34(11):493-502. [5]Dowding DW, Turley M, Garrido T. The impact of an electronic health record on nurse sensitive patient outcomes: an interrupted time series analysis[J].J Am Med Inform Assoc, 2012,19(4):615-620. [6]Kroth PJ, Dexter PR, Overhage JM, et al. A computerized decision support system improves the accuracy of temperature capture from nursing personnel at the bedside[J].AMIA Annu Symp Proc,2006:444-448. [7]North F, Richards DD, Bremseth KA, et al. Clinical decision support improves quality of telephone triage documentation - an analysis of triage documentation before and after computerized clinical decision support[J].BMC Med Inform Decis Mak, 2014,14:20. [8]Ammenwerth E, Rauchegger F, Ehlers F, et al. Effect of a nursing information system on the quality of information processing in nursing: an evaluation study using the HIS-monitor instrument[J].Int J Med Inform,2011,80(1):25-38. [9]程建平,史婷奇,陆瑶,等.基于临床决策支持系统电子护理文书质量控制录入系统的设计与应用[J].中国护理管理,2018,18(7):958-961. [10]Fitzmaurice DA, Hobbs FD, Murray ET, et al. Oral anticoagulation management in primary care with the use of computerized decision support and near-patient testing: a randomized, controlled trial[J].Arch Intern Med, 2000,160(15):2343-2348. [11]Geurts D, De Vos-Kerkhof E, Polinder S, et al. Implementation of clinical decision support in young children with acute gastroenteritis: a randomized controlled trial at the emergency department[J].Eur J Pediatr,2017,176(2):173-181. [12]Hagiwara MA, Sjoqvist BA, Lundberg L, et al.Decision support system in prehospital care: a randomized controlled simulation study[J].Am J Emerg Med,2013,31(1):145-153. [13]Harrison RL, Stalker SL, Henderson R, et al. Use of a clinical decision support system to improve hypoglycemia management[J].Medsurg Nurs,2013,22(4):250-254,263. [14]Holmes JF, Freilich J, Taylor SL, et al. Electronic alerts for triage protocol compliance among emergency department triage nurses: a randomized controlled trial[J].Nurs Res,2015,64(3):226-230. [15]Cortez S, Dietrich MS, Wells N. Measuring clinical decision support influence on evidence-based nursing practice[J].Oncol Nurs Forum, 2016,43(4): E170-177. [16]Bakken S, Jia H, Chen ES, et al. The effect of a mobile health decision support system on diagnosis and management of obesity, tobacco use, and depression in adults and children[J].J Nurse Pract, 2014,10(10): 774-780. [17]Lee NJ, Chen ES, Currie LM, et al. The effect of a mobile clinical decision support system on the diagnosis of obesity and overweight in acute and primary care encounters[J].ANS Adv Nurs Sci,2009,32(3):211-221. [18]Manaktala S, Claypool SR. Evaluating the impact of a computerized surveillance algorithm and decision support system on sepsis mortality[J].J Am Med Inform Assoc,2017,24(1):88-95. [19]范英,师秋霞.临床决策支持系统在护理评估中的应用[J].中国卫生质量管理,2018,25(2):62-64. [20]Hanson LC, Zimmerman S, Song MK, et al. Effect of the goals of care intervention for advanced dementia: a randomized clinical trial[J].JAMA Intern Med, 2017,177(1):24-31. [21]Vadher BD, Patterson DL, Leaning M. Comparison of oral anticoagulant control by a nurse-practitioner using a computer decision-support system with that by clinicians[J].Clin Lab Haematol,1997,19(3):203-207. [22]Hoekstra M, Vogelzang M, Drost JT,et al. Implementation and evaluation of a nurse-centered computerized potassium regulation protocol in the intensive care unit - a before and after analysis[J].BMC Med Inform Decis Mak, 2010,10:5. [23]Beeckman D, Clays E, Van Hecke A, et al. A multi-faceted tailored strategy to implement an electronic clinical decision support system for pressure ulcer prevention in nursing homes: a two-armed randomized controlled trial[J].Int J Nurs Stud, 2013,50(4):475-486. [24]宋慧英.决策支持系统在肿瘤内科护理管理中的应用[J].中医药管理杂志,2018,26(21):65-66. [25]陈黎明,卞丽芳,冯志仙.基于护理电子病历的临床决策支持系统的设计与应用[J].中华护理杂志,2014,49(9):1075-1079. [26]Forberg U, Unbeck M, Wallin L, et al. Effects of computer reminders on complications of peripheral venous catheters and nurses' adherence to a guideline in paediatric care-a cluster randomised study[J].Implement Sci, 2016,11(10):1-15. [27]Mitchell BG, Northcote M, Cheng AC, et al.Reducing urinary catheter use using an electronic reminder system in hospitalized patients: a randomized stepped-wedge trial[J].Infect Control Hosp Epidemiol,2019,40(4):427-431. [28]Bosworth HB, Olsen MK, Dudley T, et al. Patient education and provider decision support to control blood pressure inprimary care: a cluster randomized trial[J].Am Heart J, 2009,157(3):450-456. [29]Montgomery AA, Fahey T, Peters TJ, et al.Evaluation of computer based clinical decision support system and risk chart for management of hypertension in primary care: randomized controlled trial[J].BMJ,2000,320(7236): 686-690. [30]Forster A, Young J, Chapman K, et al. Cluster randomized controlled trial: clinical and cost-efectiveness of a system of longer-term stroke care[J].Stroke, 2015,46(8):2212-2219. [31]方红薇,刘怀莉,汤菊萍.智能化疼痛管理决策与质量监测系统的构建与应用[J].护士进修杂志,2018,33(20):1831-1833. [32]Feldman PH, Murtaugh CM, Pezzin LE, et al. Just-in-time evidence-based e-mail "Reminders" in home health care: Impact on patient outcomes[J]. Health Serv Res, 2005,40(3):865-885. [33]Olsho LE, Spector WD, Williams CS, et al. Evaluation of AHRQ's on-time pressure ulcer prevention program : a facilitator-assisted clinical decision support intervention for nursing homes[J].Med Care, 2014,52(3):258-266. [34]McDonald MV, Feldman PH, Barrón-Vayá Y, et al. Outcomes of clinical decision support (CDS) and correlates of CDS use for home care patients with high medication regimen complexity: a randomized trial[J].J Eval Clin Pract,2016,22(1):10-19. [35]Roukema J, Steyerberg EW, Van der Lei J, et al. Randomized trial of a clinical decision support system: impact on the management of children with fever without apparent source[J].J Am Med Inform Assoc, 2008,15(1):107-113. [36]Vicente V, Svensson L, Wireklint Sundstrom B, et al. Randomized controlled trial of a prehospital decision system by emergency medical services to ensure optimal treatment for older adults in sweden[J].J Am Geriatr Soc,2014,62(7):1281-1287. [37]Van Oostveen CJ, Braaksma A, Vermeulen H. Developing and testing a computerized decision support system for nurse-to-patient assignment[J].Comput Inform Nurs,2014,32(6):276-285. [38]Osheroff JA. Improving medication use and outcomes with clinical decision support[M].Chicago: HIMSS Publishing,2009:1.

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更新日期/Last Update: 2021-01-28