TY - JOUR AU - Wozney, Lori AU - Curran, Janet AU - Archambault, Patrick AU - Cassidy, Christine AU - Jabbour, Mona AU - Mackay, Rebecca AU - Newton, Amanda AU - Plint, Amy C AU - Somerville, Mari PY - 2022 DA - 2022/6/24 TI -儿科急诊科使用的电子出院通信工具:系统评价JO - JMIR儿科家长SP - e36878 VL - 5 IS - 2kw -急诊科KW -医疗信息KW -儿科KW -系统评价KW -患者出院总结KW -以患者为中心的护理KW -技术KW -医院AB -背景:电子出院通信工具(edct)在儿科急诊科(EDs)越来越普遍。这些工具已被证明可以改善以患者为中心的沟通，支持出院后的家庭护理，并减少不必要的急诊科回访。目的:本研究旨在根据edct的功能、预期目的、实施背景特征和结果，绘制和评估edct用于儿科急诊科的证据基础。方法:按照PRISMA(系统评价和元分析首选报告项目)程序进行系统评价，以确定、筛选和合格性。检索了7个数据库(EBSCO、MEDLINE、CINAHL、PsycINFO、EMBASE Scopus和Web of Science)中1989 - 2021年发表的研究。纳入了在儿科急诊科使用电子工具(如短信、视频和信息亭)评估出院沟通相关结果的研究。总共有2名研究人员独立评估了资格。提取与研究鉴定、方法学、环境和人口统计学、干预特征、结果实施特征、实践、政策和研究意义相关的数据。采用混合方法评价工具对方法学质量进行评价。综合结果包括结构化制表、投票计数、重新编码为常用指标、归纳主题分析、描述性统计和热图。 Results: In total, 231 full-text articles and abstracts were screened for review inclusion with 49 reports (representing 55 unique tools) included. In all, 70% (26/37) of the studies met at least three of five Mixed Method Appraisal Tool criteria. The most common EDCTs were videos, text messages, kiosks, and phone calls. The time required to use the tools ranged from 120 seconds to 80 minutes. The EDCTs were evaluated for numerous presenting conditions (eg, asthma, fracture, head injury, fever, and otitis media) that required a range of at-home care needs after the ED visit. The most frequently measured outcomes were knowledge acquisition, caregiver and patient beliefs and attitudes, and health service use. Unvalidated self-report measures were typically used for measurement. Health care provider satisfaction or system-level impacts were infrequently measured in studies. The directionality of primary outcomes pointed to positive effects for the primary measure (44/55, 80%) or no significant difference (10/55, 18%). Only one study reported negative findings, with an increase in return visits to the ED after receiving the intervention compared with the control group. Conclusions: This review is the first to map the broad literature of EDCTs used in pediatric EDs. The findings suggest a promising evidence base, demonstrating that EDCTs have been successfully integrated across clinical contexts and deployed via diverse technological modalities. Although caregiver and patient satisfaction with EDCTs is high, future research should use robust trials using consistent measures of communication quality, clinician experience, cost-effectiveness, and health service use to accumulate evidence regarding these outcomes. Trial Registration: PROSPERO CRD42020157500; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=157500 SN - 2561-6722 UR - https://pediatrics.www.mybigtv.com/2022/2/e36878 UR - https://doi.org/10.2196/36878 UR - http://www.ncbi.nlm.nih.gov/pubmed/35608929 DO - 10.2196/36878 ID - info:doi/10.2196/36878 ER -