临床决策支持系统在急诊分诊管理中应用的范围综述

doi:10.3761/j.issn.2096-7446.2026.03.008

摘要/Abstract

摘要：

目的对临床决策支持系统（clinical decision support system，CDSS）在急诊分诊管理中应用的相关研究进行范围综述，旨在为急诊正确应用CDSS提供参考。方法计算机检索PubMed、Web of Science、Embase、Cochrane Library、EBSCO、中国知网、万方数据库、维普中文科技期刊数据库，检索时限为建库至2025年2月。筛选有关CDSS在急诊分诊中应用的相关研究，基于范围综述的研究框架分析研究的基本特征、CDSS的功能、应用的可行性及结局指标等。结果共纳入14篇文献。CDSS可有效改善资源分配，提高分诊效率，但其在分诊管理中的应用以自动分级为主，缺乏标准化的结局指标。结论 CDSS能提高分诊准确率、缩短危重患者等待时间，并降低ICU入院率。未来需开展多中心研究，建立标准化CDSS结局指标体系，开展高质量的随机对照试验研究以验证其应用效果。

关键词: 临床支持决策系统, 预检分诊, 急症护理, 范围综述

Abstract:

Objective To conduct a scoping review of research on the application of clinical support decision system（CDSS） in emergency triage，aiming to provide reference for the correct use of CDSS in emergency departments.Methods Computer retrieval of PubMed，Web of Science，Embase，Cochrane Library，EBSCO，CNKI，Wanfang Database，and VIP were conducted，and the search period was from the establishment of the database until February 2025. We screened relevant studies on the application of CDSS in emergency triage，analyzed the basic characteristics，functions，feasibility，and effects of CDSS based on a scoping review research framework.Results A total of 14 articles was included. CDSS can effectively improve resource allocation and enhance triage efficiency，but its application in triage management was mainly focused on automatic grading，lacking standardized outcome indicators.Conclusion CDSS can improve triage accuracy，shorten waiting time for critically ill patients，and reduce ICU admission rates. In the future，multi-center research should be conducted to establish a standardized CDSS outcome indicator system. High-quality randomized controlled trials should be conducted to validate its application effectiveness.

Key words: Clinical Decision Support System, Triage, Emergency Nursing, Scoping Review

于雅诺, 宋雨航, 高凌婕, 李晓波. 临床决策支持系统在急诊分诊管理中应用的范围综述[J]. 中华急危重症护理杂志, 2026, 7(3): 306-311.

YU Yanuo, SONG Yuhang, GAO Lingjie, LI Xiaobo. The application of clinical decision support system in emergency triage management：a scoping review[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 306-311.

图/表 2

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