在急诊室的行为健康决策支持系统和用户界面设计
Nicholas W Jones1, Sophia L Song2, Nicole Thomasian3
1Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island, United States.
Applied clinical informatics
|September 6, 2023
概括
医生发现临床决策支持 (CDS) 系统用于预测急诊室 (ED) 复发和阿片类药物事件是一个中立或积极的补充. 警报系统对ED医生的工作流程产生了微小的积极影响.
科学领域:
- 医疗信息学 医疗信息学
- 紧急医疗 紧急医疗
- 临床决策支持 临床决策支持
背景情况:
- 临床决策支持 (CDS) 系统越来越多地集成到电子健康记录 (EHR) 中.
- 紧急诊所 (ED) 的预测分析旨在识别高风险患者进行干预.
- 医生情绪对于新健康技术的成功采用和影响至关重要.
研究的目的:
- 评估紧急医生对新型CDS系统的看法.
- 评估医生对ED专注的CDS系统的情绪,预测患者的复发和与阿片类药物相关的事件.
- 确定影响ED中预测警报可用性和有效性的因素.
主要方法:
- 一项采用半结构面试的定性研究,对成年急诊医生进行了采访.
- 在实施CDS警报系统之前和之后进行了采访.
- 专题分析被用来汇总和识别医生回复中的共同主题.
主要成果:
- 采访了23名医生,他们提供了有关警报配置,设计,内容和整体影响的见解.
- 大多数医生认为CDS警报是一种中立或积极的EHR增强.
- 警报通常被发现是直观的和非侵入性的,并指出准确性,尽管响应取决于医生.
结论:
- CDS系统对ED医生的工作流程产生了微小的积极影响.
- 警报旨在提醒医生注意高风险人群,可能影响护理和转诊.
- 该系统的价值取决于警报的相关性和个人患者接触的信息实用性.
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