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Models Used in Clinical Decision Support Systems Supporting Healthcare Professionals Treating Chronic Wounds: Systematic Literature Review

机译:在支持医疗专业人员治疗慢性伤口的临床决策支持系统中使用的模型:系统文献综述

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摘要

BackgroundChronic wounds such as diabetic foot ulcers, venous leg ulcers, and pressure ulcers are a massive burden to health care facilities. Many randomized controlled trials on different wound care elements have been conducted and published in the Cochrane Library, all of which have only a low evidential basis. Thus, health care professionals are forced to rely on their own experience when making decisions regarding wound care. To progress from experience-based practice to evidence-based wound care practice, clinical decision support systems (CDSS) that help health care providers with decision-making in a clinical workflow have been developed. These systems have proven useful in many areas of the health care sector, partly because they have increased the quality of care, and partially because they have generated a solid basis for evidence-based practice. However, no systematic reviews focus on CDSS within the field of wound care to chronic wounds.
机译:背景技术慢性伤口,例如糖尿病足溃疡,静脉腿溃疡和压疮,是医疗机构的沉重负担。在不同的伤口护理元件上进行了许多随机对照试验,并在Cochrane图书馆中发表,所有这些都只有很低的证据基础。因此,医疗保健专业人员在做出有关伤口护理的决定时被迫依靠自己的经验。为了从基于经验的实践发展为基于证据的伤口护理实践,已经开发了可帮助医疗保健提供者在临床工作流程中进行决策的临床决策支持系统(CDSS)。事实证明,这些系统在医疗保健领域的许多领域都是有用的,部分原因是它们提高了护理质量,部分原因是它们为循证实践奠定了坚实的基础。然而,在针对慢性伤口的伤口护理领域中,没有针对CDSS的系统评价。

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