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信息化管理模式对国内患者院内安全转运影响的Meta分析

Meta-analysis of the effect of information management on safe in-hospital transfer of patients in China

摘要目的:对信息化管理在国内患者院内安全转运中的应用效果进行Meta分析。方法:计算机检索中国知网、维普网、万方数据库、中国生物医学文献数据库、PubMed、Embase、Web of Science、CINAHL、Cochrane Library中关于信息化管理对国内患者院内安全转运的随机对照试验和类实验性研究,检索时限为建库至2022年5月17日。由2名经过培训的研究员独立进行文献筛选、质量评价和资料提取,采用Stata 15.1软件进行Meta分析。结果:纳入14篇文献,共涉及130 670例患者。Meta分析结果显示,信息化管理组患者院内转运不良事件发生率低于对照组( OR=0.24,95% CI:0.17~0.35, P<0.01),院内转运时长短于对照组( WMD=-5.76,95% CI:-8.30~-3.22, P<0.01),院内转运的患者满意度( OR=1.11,95% CI:1.05~1.17, P<0.01)和转运医务人员的满意度( OR=1.37,95% CI:1.13~1.66, P<0.01)高于对照组。 结论:信息化管理能有效控制国内患者院内转运不良事件发生率,缩短其院内转运耗时,并改善院内转运患者和转运医务人员的满意度。

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abstractsObjective:To conduct a Meta-analysis on the application effect of information management on safe in-hospital transfer of patients in China.Methods:Using computers to search for randomized controlled trials and quasi experimental studies on the effect of information management on safe in-hospital transfer of patients in China from China National Knowledge Infrastructure, VIP, Wanfang Database, China Biomedical Mediline disc, PubMed, Embase, Web of Science, CINAHL and Cochrane Library. The search period was from establishment of databases to May 17, 2022. Literature screening, quality evaluation and data extraction were conducted independently by two trained researchers. Stata 15.1 software was used for Meta-analysis.Results:A total of 14 articles were included, involving a total of 130 670 patients. The results of Meta-analysis showed that the incidence of adverse event in in-hospital transfer of patients in the information management group was shorter than that in the control group ( OR=0.24, 95% CI: 0.17-0.35, P<0.01), duration of in-hospital tranfer was longer than that in the control group ( WMD=-5.76, 95% CI: -8.30-3.22, P<0.01), and patients' satisfaction ( OR=1.11, 95% CI: 1.05-1.17, P<0.01) and satisfaction of medical personnel responsible for transfer ( OR=1.37, 95% CI: 1.13-1.66, P<0.01) were higher than those of the control group. Conclusions:Information management can effectively control the incidence of adverse events in in-hospital transfer of patients in China, shorten the time required for hospital transfers and improve the satisfaction of patients and medical staff in hospital transfers.

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