Process mapping in healthcare: a systematic review.
Process mapping in healthcare: a systematic review.
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DOI：
10.1186/s12913-021-06254-1
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发表时间：
2021-04-14
影响因子：
2.8
通讯作者：
Reed J
中科院分区：
文献类型：
--
作者：
Antonacci G;Lennox L;Barlow J;Evans L;Reed J
过程映射（PM）支持更好地理解复杂的系统和适应改进干预到他们的当地环境。然而，关于其在医疗保健中的应用的研究很少。本研究(i)提出了一个概述质量标准的概念框架，以指导医疗保健项目管理的有效实施、评估和报告；（ii）审查已发表的项目管理案例，以确定项目管理应用的背景和质量，以及在医疗保健中使用项目管理的报告好处。我们通过回顾PM的方法学指导和在医疗保健改善干预措施中使用PM的实证文献，开发了概念框架。我们使用PRISMA（首选报告项目用于系统评价和荟萃分析）方法对经验文献进行了系统评价。纳入标准为：全文实证研究；描述在医疗保健环境中应用项目管理的过程；以英文出版。检索的数据库有：Medline， Embase， hmic -健康管理信息联盟，cinahl -护理和相关健康文献累积索引，Scopus。两名独立的审稿人提取并分析了数据。每份手稿都经过逐行编码。概念框架被用来评估实证研究对确定的项目管理质量标准的依从性。使用PM的上下文和使用PM的好处使用归纳主题分析方法进行编码。该框架概述了每个项目管理阶段的质量标准：(i)准备、计划和过程识别，（ii）数据和信息收集，（iii）过程图生成，（iv）分析，(v)推进。项目管理用于各种环境和改进方法。纳入的研究（N = 105）均未满足全部10项质量标准；7%符合8/10或9/10标准。45%的研究报告PM是通过多专业会议产生的，15%的研究报告患者参与。研究强调了项目管理在应对医疗保健改善干预措施的复杂性方面的价值。项目管理的全部潜力被报告中的差异和对基础原则的不良遵守所抑制。在应用该方法时需要更加严格。我们鼓励使用并进一步发展拟议的框架，以支持项目管理的培训、应用和报告。普洛斯彼罗ID: CRD42017082140在线版本包含补充资料，可在10.1186/s12913-021-06254-1获得。
Process mapping (PM) supports better understanding of complex systems and adaptation of improvement interventions to their local context. However, there is little research on its use in healthcare. This study (i) proposes a conceptual framework outlining quality criteria to guide the effective implementation, evaluation and reporting of PM in healthcare; (ii) reviews published PM cases to identify context and quality of PM application, and the reported benefits of using PM in healthcare. We developed the conceptual framework by reviewing methodological guidance on PM and empirical literature on its use in healthcare improvement interventions. We conducted a systematic review of empirical literature using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodology. Inclusion criteria were: full text empirical study; describing the process through which PM has been applied in a healthcare setting; published in English. Databases searched are: Medline, Embase, HMIC–Health Management Information Consortium, CINAHL-Cumulative Index to Nursing and Allied Health Literature, Scopus. Two independent reviewers extracted and analysed data. Each manuscript underwent line by line coding. The conceptual framework was used to evaluate adherence of empirical studies to the identified PM quality criteria. Context in which PM is used and benefits of using PM were coded using an inductive thematic analysis approach. The framework outlines quality criteria for each PM phase: (i) preparation, planning and process identification, (ii) data and information gathering, (iii) process map generation, (iv) analysis, (v) taking it forward. PM is used in a variety of settings and approaches to improvement. None of the reviewed studies (N = 105) met all ten quality criteria; 7% were compliant with 8/10 or 9/10 criteria. 45% of studies reported that PM was generated through multi-professional meetings and 15% reported patient involvement. Studies highlighted the value of PM in navigating the complexity characterising healthcare improvement interventions. The full potential of PM is inhibited by variance in reporting and poor adherence to underpinning principles. Greater rigour in the application of the method is required. We encourage the use and further development of the proposed framework to support training, application and reporting of PM. Prospero ID: CRD42017082140 The online version contains supplementary material available at 10.1186/s12913-021-06254-1.
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影响因子：
2.8
作者：
Bhavsar NA;Bloom K;Nicolla J;Gable C;Goodman A;Olson A;Harker M;Bull J;Taylor DH Jr
通讯作者：
Taylor DH Jr
影响因子：
3.6
作者：
Bibi, Yuval;Cohen, Arnon D.;Vardy, Daniel A.
通讯作者：
Vardy, Daniel A.
影响因子：
2.1
作者：
Black, Morgan;Singh, Valene;Kam, April J.
通讯作者：
Kam, April J.
DOI：
10.1089/bfm.2018.0048
发表时间：
2018-09
期刊：
Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine
影响因子：
--
作者：
Cadwell K;Brimdyr K;Phillips R
通讯作者：
Phillips R
影响因子：
--
作者：
Arafeh, Mazen;Barghash, Mahmoud A.;Assaf, Fatina
通讯作者：
Assaf, Fatina