试点为儿科临床指南提供移动临床决策支持应用程序
Brian Lefchak1, Kelly R Bergmann1, Shea Lammers1
1Department of Pediatric Emergency Medicine, Children's Minnesota, Minneapolis, MN, USA.
Clinical pediatrics
|August 31, 2023
概括
移动临床决策支持系统 (CDSS) 增强了临床指南的使用,临床医生可以在大多数班次快速访问指南. 年轻的临床医生报告了更容易访问和频繁使用移动应用程序.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 临床实践指南 临床实践指南
背景情况:
- 移动临床决策支持系统 (CDSS) 越来越多地被采用,以改善临床指南的遵守.
- 在儿童医院实施移动指南应用程序需要整合23个不同的指南.
研究的目的:
- 在实施移动CDSS时,探索临床医生使用指南和访问偏好.
- 评估医疗保健提供者中移动指南应用程序的采用模式和感知效用.
主要方法:
- 匿名调查于2022年1月分发给在线临床医生,收集人口统计数据和访问偏好.
- 该研究包括来自不同环境的临床医生,反应率为21.8% (57/261).
主要成果:
- 临床医生在超过一半的班次 (68.4%) 和快速 (80.7%在<1分钟内) 访问指南.
- 大多数用户发现移动CDSS是有用的辅助工具,年轻的临床医生报告了更容易访问和使用频率.
- 对抗生素决定和新疾病过程的指导方针被认为是最有价值的.
结论:
- 移动CDSS显示了有利的采用模式,提高了指南的可访问性和使用性.
- 建议进行进一步的研究,以调查电子健康记录的整合,遵守率和对患者结果的影响.
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