Al-Qarni Hussein, Allida Sabine M, McDonagh Julee, Ferguson Caleb
Centre for Chronic & Complex Care Research, Blacktown Hospital and School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Wollongong, NSW, Australia.
School of Nursing, University of Wollongong, Wollongong, NSW, Australia.
Syst Rev. 2024 Dec 4;13(1):301. doi: 10.1186/s13643-024-02693-z.
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.
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.
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.
This protocol has been registered prospectively with the Open Science Framework (OSF) ( https://osf.io/fhm4n/ ).
临床质量登记库（CQR）是一个结构化数据库，它系统地收集数据以监测临床质量并改善医疗保健结果。CQR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、提高医疗保健价值、提升护理质量并降低医疗保健成本。向临床医生提供反馈被用作一种质量改进工具。它向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，先前关于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。在本研究中，进行了一项范围综述，以了解在急性医疗环境中使用临床质量登记库反馈系统的障碍和促进因素。
对于本综述，将应用阿克西和奥马利的范围综述框架。将系统搜索以下电子数据库（通过Ovid的MEDLINE、CINAHL和Scopus）和灰色文献（谷歌学术），以查找2000年后以英文发表的定性和混合方法研究（仅包括定性研究结果）。两名评审员将独立筛选文章并提取数据，随后将这些数据与COM-B模型进行映射。
进行本综述的目的是深入了解影响医疗保健提供者利用临床质量登记库反馈的因素，在质量改进的背景下，这可能对临床研究、登记库科学、卫生政策和临床实践具有重大意义。
本方案已在开放科学框架（OSF）（https://osf.io/fhm4n/）上进行了前瞻性注册。
