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数据驱动技术助力预防手术部位感染的价值创造:一项系统综述

Data-Driven Technologies as Enablers for Value Creation in the Prevention of Surgical Site Infections: a Systematic Review.

作者信息

Irgang Luís, Barth Henrik, Holmén Magnus

机构信息

School of Business, Innovation and Sustainability - Department of Engineering and Innovation, Halmstad University, Halmstad, Sweden.

出版信息

J Healthc Inform Res. 2023 Feb 27;7(1):1-41. doi: 10.1007/s41666-023-00129-2. eCollection 2023 Mar.

Abstract

UNLABELLED

Despite the advances in modern medicine, the use of data-driven technologies (DDTs) to prevent surgical site infections (SSIs) remains a major challenge. Scholars recognise that data management is the next frontier in infection prevention, but many aspects related to the benefits and advantages of using DDTs to mitigate SSI risk factors remain unclear and underexplored in the literature. This study explores how DDTs enable value creation in the prevention of SSIs. This study follows a systematic literature review approach and the PRISMA statement to analyse peer-reviewed articles from seven databases. Fifty-nine articles were included in the review and were analysed through a descriptive and a thematic analysis. The findings suggest a growing interest in DDTs in SSI prevention in the last 5 years, and that machine learning and smartphone applications are widely used in SSI prevention. DDTs are mainly applied to prevent SSIs in clean and clean-contaminated surgeries and often used to manage patient-related data in the postoperative stage. DDTs enable the creation of nine categories of value that are classified in four dimensions: cost/sacrifice, functional/instrumental, experiential/hedonic, and symbolic/expressive. This study offers a unique and systematic overview of the value creation aspects enabled by DDT applications in SSI prevention and suggests that additional research is needed in four areas: value co-creation and product-service systems, DDTs in contaminated and dirty surgeries, data legitimation and explainability, and data-driven interventions.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s41666-023-00129-2.

摘要

未标注

尽管现代医学取得了进步,但利用数据驱动技术(DDTs)预防手术部位感染(SSIs)仍然是一项重大挑战。学者们认识到数据管理是感染预防的下一个前沿领域,但在文献中,与使用DDTs减轻SSI风险因素的益处和优势相关的许多方面仍不明确且未得到充分探索。本研究探讨了DDTs如何在预防SSIs中实现价值创造。本研究采用系统文献综述方法和PRISMA声明来分析来自七个数据库的同行评审文章。该综述纳入了59篇文章,并通过描述性分析和主题分析进行了分析。研究结果表明,在过去5年中,人们对DDTs在SSI预防方面的兴趣日益浓厚,机器学习和智能手机应用在SSI预防中得到广泛应用。DDTs主要应用于清洁和清洁-污染手术中预防SSIs,并且经常用于术后阶段管理与患者相关的数据。DDTs能够创造九类价值,这些价值分为四个维度:成本/牺牲、功能/工具、体验/享乐和象征/表达。本研究对DDTs在SSI预防中的价值创造方面进行了独特而系统的概述,并表明在四个领域需要进一步研究:价值共创和产品-服务系统、污染和脏污手术中的DDTs、数据合法化和可解释性以及数据驱动的干预措施。

补充信息

在线版本包含可在10.1007/s41666-023-00129-2获取的补充材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffc9/9995622/2027fafd2d51/41666_2023_129_Fig1_HTML.jpg

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