Hussein Al-Qarni, Sabine M Allida, Julee McDonagh, Caleb Ferguson
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引用次数: 0
Abstract
Background: A clinical quality registry (CQR) is a structured database that systematically collects data to monitor clinical quality and improve healthcare outcomes. The aims of CQRs are to improve treatment plans, assist in decision-making, increase healthcare value, enhance care quality, and reduce healthcare costs by providing feedback to healthcare providers. Feedback to clinicians is used as a quality improvement tool. It provides data to clinicians about their performance, which may contribute to improvement in healthcare outcomes. To the best of our knowledge, previous research on CQRs has primarily focused on factors affecting their use and their impact on healthcare outcomes. In this study, a scoping review is conducted to understand the barriers to and facilitators of using feedback systems from clinical quality registries in acute healthcare settings.
Methods: For this review, Arksey and O'Malley's framework for scoping reviews will be applied. The following electronic databases (MEDLINE via Ovid, CINAHL, and Scopus) and grey literature (Google Scholar) will be systematically searched for qualitative and mixed-method studies (only including qualitative findings) published after 2000 in the English language. Two reviewers will independently screen the articles and extract the data which, subsequently, will be mapped against the COM-B model.
Discussion: This review is conducted with the aim of providing valuable insights into the factors that influence the utilisation of feedback from Clinical Quality Registries by healthcare providers, which, in the context of quality improvement, may have significant implications for clinical research, registry science, health policy, and clinical practice.
Scoping review registration: This protocol has been registered prospectively with the Open Science Framework (OSF) ( https://osf.io/fhm4n/ ).
背景：临床质量注册（CQR）是一个结构化的数据库，系统地收集数据，以监测临床质量和改善医疗保健结果。CQRs的目标是通过向医疗保健提供者提供反馈来改进治疗计划、协助决策、增加医疗保健价值、提高护理质量和降低医疗保健成本。对临床医生的反馈被用作质量改进工具。它为临床医生提供有关其表现的数据，这可能有助于改善医疗保健结果。据我们所知，以前对cqr的研究主要集中在影响其使用的因素及其对医疗保健结果的影响上。在本研究中，进行了范围审查，以了解在急性医疗保健设置中使用临床质量注册反馈系统的障碍和促进因素。方法：本综述将采用Arksey和O'Malley的范围评价框架。以下电子数据库（MEDLINE via Ovid， CINAHL和Scopus）和灰色文献（谷歌Scholar）将被系统地检索2000年以后以英语发表的定性和混合方法研究（仅包括定性研究结果）。两名审稿人将独立筛选文章并提取数据，随后将这些数据映射到COM-B模型。讨论：本综述的目的是提供有价值的见解，了解影响医疗保健提供者利用临床质量注册中心反馈的因素，在质量改进的背景下，这些因素可能对临床研究、注册科学、卫生政策和临床实践具有重要意义。范围审查注册：本协议已在开放科学框架（OSF） （https://osf.io/fhm4n/）注册。
期刊介绍：
Systematic Reviews encompasses all aspects of the design, conduct and reporting of systematic reviews. The journal publishes high quality systematic review products including systematic review protocols, systematic reviews related to a very broad definition of health, rapid reviews, updates of already completed systematic reviews, and methods research related to the science of systematic reviews, such as decision modelling. At this time Systematic Reviews does not accept reviews of in vitro studies. The journal also aims to ensure that the results of all well-conducted systematic reviews are published, regardless of their outcome.
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