电子医疗记录嵌入式临床决策支持系统对动脉血液气体解释的可用性评估
Zahra Meidani1,2, Farid Zand3,4, Sahar Zare1
1Health Information Management Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Studies in health technology and informatics
|June 30, 2023
概括
改善临床决策支持系统 (CDSS) 是至关重要的. 这项研究增强了嵌入式电子医疗记录的CDSS用于动脉血液气体解释,通过代设计和用户反显著提高了可用性得分.
科学领域:
- 医疗信息学 医疗信息学
- 人与计算机的交互
- 关键护理医学 关键护理医学
背景情况:
- 可用性是成功采用临床决策支持系统 (CDSS) 的关键因素.
- 嵌入电子医疗记录 (EMR) 的CDSS需要严格的可用性评估,以便有效地集成到临床工作流程中.
- 动脉血液气体 (ABG) 的解释和排序是重症监护病房 (ICU) 中的关键任务,CDSS可以提供重要的支持.
研究的目的:
- 评估和改进用于ABG解释和订单的EMR嵌入式CDSS的可用性.
- 确定以用户为中心的设计修改,以提高CDSS在一般ICU环境中的实际实用性.
- 量化参与式设计和代反对CDSS可用性得分的影响.
主要方法:
- 这项研究采用了一种混合方法的方法,用于教学医院的一般ICU.
- 用户可用性使用系统可用性量表 (SUS) 和对麻醉学住院医生和重症监护人员进行定性访谈进行了评估.
- 进行了两轮可用性测试,根据参与者的反,CDSS反复重新设计.
主要成果:
- 对于CDSS的初始可用性得分是67.22±4.58.
- 继代设计和用户反整合后,可用性得分显著增加到80.00±4.84 (P<0.001).
- 参与式设计和代性用户测试在提高CDSS可用性方面是有效的.
结论:
- 代,以用户为中心的设计显著提高了EMR嵌入式CDSS的可用性,用于重症监护任务,如ABG管理.
- 高可用性得分是可以实现的,并且对于在复杂的临床环境中成功实施CDSS是必不可少的.
- 用户反对于定制CDSS以满足医疗保健专业人员的特定需求是非常宝贵的,从而增强了临床决策.
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