决策辅助是容易的部分:癌症护理中共享决策的工作流挑战
Megan E Salwei1,2, Jessica S Ancker2, Matthew B Weinger1,2
1Center for Research and Innovation in Systems Safety, Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Journal of the National Cancer Institute
|July 8, 2023
概括
共享决策改善了癌症护理的质量. 人类因素工程可以克服将决策辅助工具整合到临床工作流程中的障碍,以获得更好的以患者为中心的结果.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 人类因素工程 人类因素工程
背景情况:
- 提供以患者为中心的癌症护理具有挑战性,有限地采用共享决策 (SDM).
- SDM涉及患者和临床医生共同根据患者的价值观和偏好决定治疗.
- 患者参与SDM提高了护理质量,减少了决策后悔.
研究的目的:
- 探索实施癌症护理中SDM决策辅助工具的工作流障碍.
- 引入人类因素工程 (HFE) 原则,以改善决策辅助设计和集成.
- 通过对乳腺癌手术决策的案例研究来证明HFE的价值.
主要方法:
- 探索三个工作流障碍:谁,何时,以及如何实施决策辅助工具.
- 引入人类因素工程原理.
- 乳腺癌手术治疗决策的案例研究分析.
主要成果:
- 将决策辅助器整合到日常护理中的工作流程带来了重大挑战.
- 人类因素工程为解决这些整合障碍提供了一个框架.
- 改进的HFE应用程序可以提高决策辅助设计和临床工作流程.
结论:
- 克服工作流程障碍对于成功实施SDM至关重要.
- 人类因素工程可以优化决策辅助设计和将其整合到临床实践中.
- 应用HFE原则可以改善以患者为中心的癌症护理结果.
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