@文章{info:doi/ 10.21960 /21621，作者="Araujo, Sabrina Magalhaes and Sousa, Paulino and Dutra, In{\^e}s"，标题="压疮管理的临床决策支持系统:系统综述"，期刊="JMIR Med Inform"，年="2020"，月="10"，日="16"，卷="8"，数="10"，页数="e21621"，关键词="压疮;临床决策支持系统;背景:压疮治疗的临床决策过程是复杂的，其质量取决于护士的经验和科学知识的可用性。这一过程应遵循循证实践，结合卫生信息技术来协助卫生保健专业人员，例如使用临床决策支持系统。这些系统除了提高所提供的保健质量外，还可以减少保健中的错误和成本。然而，临床决策支持系统的广泛使用仍然缺乏证据，这表明需要识别和评估其对护理临床实践的影响。目的:研究护士使用临床决策支持系统对压疮治疗临床决策的影响。方法:按照PRISMA (Preferred Reporting Items for systematic Reviews and meta - analysis)建议进行系统评价。该研究于2019年4月在MEDLINE、SCOPUS、Web of Science、Cochrane和CINAHL 5个电子数据库上进行，没有出版日期或研究设计限制。包括了在压疮护理中应用计算机化临床决策支持系统的文章。 The reference lists of eligible articles were searched manually. The Mixed Methods Appraisal Tool was used to assess the methodological quality of the studies. Results: The search strategy resulted in 998 articles, 16 of which were included. The year of publication ranged from 1995 to 2017, with 45{\%} of studies conducted in the United States. Most addressed the use of clinical decision support systems by nurses in pressure ulcers prevention in inpatient units. All studies described knowledge-based systems that assessed the effects on clinical decision making, clinical effects secondary to clinical decision support system use, or factors that influenced the use or intention to use clinical decision support systems by health professionals and the success of their implementation in nursing practice. Conclusions: The evidence in the available literature about the effects of clinical decision support systems (used by nurses) on decision making for pressure ulcer prevention and treatment is still insufficient. No significant effects were found on nurses' knowledge following the integration of clinical decision support systems into the workflow, with assessments made for a brief period of up to 6 months. Clinical effects, such as outcomes in the incidence and prevalence of pressure ulcers, remain limited in the studies, and most found clinically but nonstatistically significant results in decreasing pressure ulcers. It is necessary to carry out studies that prioritize better adoption and interaction of nurses with clinical decision support systems, as well as studies with a representative sample of health care professionals, randomized study designs, and application of assessment instruments appropriate to the professional and institutional profile. In addition, long-term follow-up is necessary to assess the effects of clinical decision support systems that can demonstrate a more real, measurable, and significant effect on clinical decision making. Trial Registration: PROSPERO International Prospective Register of Systematic Reviews CRD42019127663; https://www.crd.york.ac.uk/prospero/display{\_}record.php?RecordID=127663 ", issn="2291-9694", doi="10.2196/21621", url="http://medinform.www.mybigtv.com/2020/10/e21621/", url="https://doi.org/10.2196/21621", url="http://www.ncbi.nlm.nih.gov/pubmed/33064099" }