预测文本临床决策支持对成像的影响 订单进入紧急部门
Govind S Mattay1, Richard T Griffey2, Vamsi Narra3
1Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.
Journal of the American College of Radiology : JACR
|October 7, 2023
概括
临床决策支持 (CDS) 在急诊室 (ED) 进行成像,对研究选择的影响最小,但数据质量有所改善. 人工智能预测文本 (AIPT) 通过增加得分成像顺序来增强CDS.
科学领域:
- 放射学和医学成像学 医学成像学
- 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
背景情况:
- 联邦授权的成像临床决策支持 (CDS) 旨在指导适当的成像研究选择.
- 了解CDS对急救部门 (ED) 工作流程和提供商决策的影响至关重要.
研究的目的:
- 评估成像CDS对ED环境中的供应商决策和工作流程的影响.
- 评估人工智能预测文本 (AIPT) 模块对成像订单的评分的影响.
主要方法:
- 在一个ED中,追溯分析了6个月的17,355个成像订单.
- 使用CDS系统,根据适当使用标准 (AUC) 评分订单,并触发低分数的警报.
- 实施了一个AIPT模块,以改善自由文本条目结构化标志的选择.
主要成果:
- 对低AUC分数的CDS警报发生在3%的订单中,平均供应商交互时间为24秒.
- 在522个警报病例中,只有18个被要求进行替代性成像研究.
- 实施AIPT显著减少了未得分的研究,从81%降至45% (P < .001).
结论:
- CDS警报最小增加了订单输入时间,但对ED中的成像研究选择产生了边际影响.
- 通过增加得分的研究数量,AIPT增强了CDS,可能提高了CDS的有效性.
- CDS的实施提供了关于低AUC成像研究的宝贵数据,这表明未来对优化CDS模型的研究.
相关概念视频
Methods of Documentation VII: EMR
848
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
848
Types of Reports III: Telephone and Verbal Reports
756
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
756
Documentation of Nursing Diagnosis
1.3K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.3K
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K
Imaging Studies for Cardiovascular System V: CT
24
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
24


