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使用标准化的护理术语在实施人工智能驱动的防摔工具中,以改善患者的治疗结果:一项多医院的研究
Insook Cho1,2, Jiseon Cho3, Jeong Hee Hong4
1Nursing Department, Inha University, Incheon, Republic of Korea.
标准化护理术语 (SNT) 实现了人工智能驱动的临床决策支持 (CDS) 工具在多个电子医疗记录 (EMR) 系统中的语义互操作性. 这有助于追踪结果和传播预防跌倒的干预措施.
科学领域:
- 护理信息学 护理信息学
- 临床决策支持系统 临床决策支持系统
- 卫生信息技术 信息技术
背景情况:
- 标准化护理术语 (SNTs) 对于一致的知识表示和比较护理实践有效性至关重要.
- 实施人工智能驱动的工具需要跨多种电子医疗记录 (EMR) 系统的语义互操作性.
研究的目的:
- 调查SNT是否可以支持语义互操作性和结果跟踪.
- 评估AI驱动的临床决策支持 (CDS) 工具在多个EMR系统中用于预防跌倒的实施情况.
主要方法:
- 在4家拥有不同EMR系统的医院中实施了人工智能驱动的CDS工具.
- 该工具包括一个跌倒风险预测模型和CDS功能,使用SNT映射到基于ICNP的目录.
- 患者的治疗结果和护理活动被纵向跟踪.
主要成果:
- 人工智能驱动的CDS工具在医院中成功传播,预测模型的性能一致 (AUROCs 0.8051-0.9581).
- 护理过程数据对跌倒风险预测做出了重大贡献.
- 虽然跌倒率没有显著下降,但护理干预率显著增加.
结论:
- SNTs促进了语义互操作性,使得人工智能驱动的CDS工具的传播成为可能.
- SNT支持在多个EMR系统中自动跟踪护理和患者的结果.
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