从促进公开可用的基于标准的临床决策支持的国家倡议中吸取的经验教训
Rina V Dhopeshwarkar1, Maysoun Freij2, Melissa Callaham1
1Department of Health Sciences, NORC at the University of Chicago, Bethesda, Maryland, United States.
公共可用,基于标准的临床决策支持 (CDS) 提供了潜力,但面临着实施挑战. 通过透明度和对资源有限的卫生系统的支持来建立信任对于这些基于证据的工具的广泛采用至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持系统 临床决策支持系统
- 基于证据的实践.
背景情况:
- 临床决策支持 (CDS) 工具通过帮助临床决策来提高患者护理并减少错误.
- 基于标准的CDS促进了互操作性,并减少了医疗机构间冗余的开发工作.
- 公共可用,基于标准的CDS是一个新兴领域,具有显著但尚未开发的潜力.
研究的目的:
- 确定从国家倡议中吸取的经验教训,重点关注公开可用的基于标准的CDS资源.
- 讨论在开发和传播这些资源中遇到的挑战.
- 为改善基于标准的CDS的实施和采用提出建议.
主要方法:
- 评估医疗保健研究和质量机构以患者为中心的研究成果CDS倡议.
- 文献和节目材料的审查.
- 主要告密者采访和基于公共CDS存储库和创作工具的网络调查.
主要成果:
- 信任对于CDS采用至关重要,通过透明度,专家协作和用户反循环来增强.
- 更广泛地采用EHR标准将促进CDS的实施,但资源较低的系统需要额外的支持.
- 卫生系统需要更多关于以患者为中心,临床和成本结果的数据,以证明对公开可用的CDS的投资是合理的.
结论:
- 共享CDS的标准和技术已经进步,但广泛实施和传播仍然是重大障碍.
- 解决信任,资源差异和结果的证明对于实现基于标准的CDS的全部潜力至关重要.
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