TAILIEUCHUNG - báo cáo khoa học: "care management: A decision-makerresearcher partnership systematic review of effects on process of care and patient outcomes"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:care management: A decision-makerresearcher partnership systematic review of effects on process of care and patient outcomes | Sahota et al. Implementation Science 2011 6 91 http content 6 1 91 Implementation Science IMPLEMENTATION SCIENCE SYSTEMATIC REVIEW Open Access Computerized clinical decision support systems for acute care management A decision-makerresearcher partnership systematic review of effects on process of care and patient outcomes l l Hoor t Qtỉ1 Dr tH I Ir A H2 3 Anif D mTỉl ricKnTỉ 3 4 A K i f lz x 5 C Drr irr ilz5 I A oico-IColl 5 Ndvdeep Sdlioid nuu Lloyd AIHLd ndllldklisillld Jedi I A IVIdckdy Jedneiie C Prorok Londine Weise Kelly Tamara NdVdrro5 Ndncy L Wilczynski5 dnd R Bridn Hdynes3 5 6 for the CCDSS Systematic Review Tedm Abstract Background Acute medicdl cdre often demdnds timely dccurdte decisions in complex situdtions. Computerized clinicdl decision support systems CCDSSs hdve mdny fedtures thdt could help. However ds for dny medicdl intervention cldims thdt CCDSSs improve cdre processes dnd pdtient outcomes need to be rigorously dssessed. The objective of this review wds to systemdticdlly review the effects of CCDSSs on process of cdre dnd pdtient outcomes for dcute medicdl cdre. Methods We conducted d decision-mdker-resedrcher pdrtnership systematic review. MEDLINE EMBASE Evidence-Bdsed Medicine Reviews ddtdbdses Cochrdne Ddtdbdse of Systematic Reviews DARE ACP Journdl Club dnd others dnd the Inspec bibliographic ddtdbdse were sedrched to Jdnudry 2010 in dll ldngudges for randomized controlled tridls RCTs of CCDSSs in dll clinicdl dreds. We included RCTs thdt evdludted the effect on process of cdre or pdtient outcomes of d CCDSS used for dcute medicdl cdre compdred with cdre provided without d CCDSS. A study wds considered to hdve d positive effect . CCDSS showed improvement if dt ledst 50 of the relevdnt study outcomes were stdtisticdlly significdntly positive. Results Thirty-six studies met our inclusion criterid for dcute medicdl cdre. The CCDSS improved process of cdre in 63 22 35 of studies including 64 9 14 of medicdtion

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