Walker Laura E, Nestler David M, Laack Torrey A, Clements Casey M, Erwin Patricia J, Scanlan-Hanson Lori, Bellolio M Fernanda
Department of Emergency Medicine and Health Sciences Research, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Mayo Clinic Libraries and Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Int J Emerg Med. 2018 Feb 8;11(1):6. doi: 10.1186/s12245-018-0166-y.
Clinical care review is the process of retrospectively examining potential errors or gaps in medical care, aiming for future practice improvement. The objective of our systematic review is to identify the current state of care review reported in peer-reviewed publications and to identify domains that contribute to successful systems of care review.
A librarian designed and conducted a comprehensive literature search of eight electronic databases. We evaluated publications from January 1, 2000, through May 31, 2016, and identified common domains for care review. Sixteen domains were identified for further abstraction.
We found that there were few publications that described a comprehensive care review system and more focus on individual pathways within the overall systems. There is inconsistent inclusion of the identified domains of care review.
While guidelines for some aspects of care review exist and have gained traction, there is no comprehensive standardized process for care review with widespread implementation.
临床护理审查是对医疗护理中潜在错误或差距进行回顾性检查的过程,旨在改进未来的实践。我们系统评价的目的是确定同行评审出版物中报告的护理审查现状,并确定有助于建立成功护理审查系统的领域。
一名图书馆员设计并对八个电子数据库进行了全面的文献检索。我们评估了2000年1月1日至2016年5月31日期间的出版物,并确定了护理审查的常见领域。确定了16个领域进行进一步提炼。
我们发现,很少有出版物描述全面的护理审查系统,更多的是关注整个系统中的个别路径。护理审查已确定领域的纳入情况不一致。
虽然存在护理审查某些方面的指南并已得到推广,但尚无全面的标准化护理审查流程得到广泛实施。