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地域医療ネットワークにおける小児医療の利用とインフラ
Kaitlyn McQuistion1, Allison Markowsky2, Sonal Kalburgi2
1Division of Hospital Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Hospital pediatrics
|September 3, 2025
まとめ
標準化された注文セット (SOS) の利用とインフラストラクチャは,小児病院によって異なります. よりよい患者ケアのためのSOSの使用とサポートシステムを改善する機会が存在します.
科学分野:
- 小児病院医療
- 臨床情報学
- 医療の質の向上
背景:
- 標準化された注文セット (SOS) は,一貫した患者ケアに不可欠です.
- SOS利用とインフラストラクチャの変動を理解することは,その利用を最適化するための鍵です.
研究 の 目的:
- 標準化されたオーダーセット (SOS) の利用における制度的変化を記述する.
- SOSインフラストラクチャを地域小児保健ネットワークで評価する
主な方法:
- 5つの小児病院の医療部門を横断的に研究した.
- 診断ベースのSOSを使用した遭遇の割合として計算されるSOS利用率.
- SOSインフラストラクチャは,CDS Operations Maturity ModelとUTAUTに基づいた新しい調査を使用して評価されました.
主要な成果:
- 平均SOS利用率は,部位によって53%から86%と,診断によって45%から79%であった.
- SOSのインフラストラクチャは様々で,ほとんどのサイトはガイドラインに基づいたコンテンツ作成でした.
- データのアクセス,分析,ガバナンス,その他のCDSとの統合は,改善の余地があることが示されました.
結論:
- SOS利用とインフラの両方を強化するための機会が特定されました.
- SOSインフラストラクチャの調査を検証し,国内の傾向と臨床結果の影響を調査するためにさらなる研究が必要でした.
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