通过减少医疗差错来提高患者安全的互联医疗系统技术干预:系统综述。

Global journal on quality and safety in healthcare Pub Date : 2024-12-30 eCollection Date: 2025-02-01 DOI:10.36401/JQSH-24-23
Ramkrishna Mondal, Mohammed Sameer
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引用次数: 0

摘要

药物或医疗失误是美国第三大死亡原因,从开处方到实施治疗都有发生,造成严重的临床和费用影响。数字卫生技术,如互联医疗系统,有可能减少药物错误并提高患者安全。本系统回顾的目的是寻找文献证据,通过相关的医疗干预措施来提高患者的安全性并减少用药错误。本系统评价采用PRISMA 2020指南进行。检索2000年1月1日至2024年6月30日期间的PubMed、SCOPUS、EBSCO和谷歌Scholar数据库,检索关键词为:用药错误、患者安全和互联医疗。本文对该综述进行了定性叙述分析。详细的检索共产生9524篇论文。在去除重复的过程中,共发现4856篇重复文章。在删除重复文章后,发现4615篇不适合或与本研究主题不相关的文章被删除。经过筛选和删除重复,最终选择53篇文章纳入综述研究。53篇文献中综述文献10篇(18.9%),原创文献43篇(81.1%)。研究表明,各种互联医疗系统技术在减少错误和提高医疗质量方面更有效。集成计算机化医嘱输入和临床决策支持系统可以进一步减少医疗差错。然而,许多领域需要进一步的研究,结果好坏参半。结合创新、实际安全性和结果评估的平衡策略是可取的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Connected Healthcare System Technology Interventions to Improve Patient Safety by Reducing Medical Errors: A Systematic Review.

Medication or medical mistakes, the third highest cause of death in the United States, occur from prescription writing to administering the therapy, with serious clinical and cost repercussions. Digital health technologies, such as connected healthcare systems, have the potential to reduce pharmaceutical errors and increase patient safety. This systematic review was conducted to find literature evidence to improve patient safety and reduce medication errors with connected healthcare interventions. This systematic review was conducted using the PRISMA 2020 guidelines. PubMed, SCOPUS, EBSCO, and Google Scholar databases were searched from January 1, 2000 to June 30, 2024 using keywords: medication errors, patient safety, and connected healthcare. A qualitative narrative analysis was conducted for the review. The detailed search yielded 9524 papers in total. In the process of duplicate removal, 4856 duplicate articles were found. After the removal of duplicate articles, 4615 were found not suitable or relevant to the topic of this study and were removed. Finally, 53 articles were chosen for the review study after screening and duplication removal. Ten of the 53 articles were review articles (18.9%), and 43 (81.1%) were original. The research indicates that various connected healthcare system technologies are more effective in minimizing errors and enhancing care quality. Integrating computerized physician order entry and clinical decision support systems may further reduce medical errors. However, many areas require additional research, and the outcomes are mixed. A balanced strategy that combines innovation, practical safety, and outcome evaluation is preferable.

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