直接口服抗凝药监测,干预和运营效率的数字仪表板:采用,障碍和机会
Darren M Triller1, Aaron S Wilson2, Arthur L Allen3
1Anticoagulation Forum, 17 Lincoln St, Suite 2B, Newton, MA, 02461, USA. dtriller@acforum.org.
Journal of thrombosis and thrombolysis
|October 15, 2023
概括
直接口服抗凝剂 (DOAC) 仪表板在全国范围内并不广泛使用,这阻碍了优化患者护理. 对抗凝固管理的监管要求是必要的,以促进数字工具的采用,以更好地管理抗凝固剂.
科学领域:
- 药理学 药理学是指药理学的学科.
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 直接口服抗凝剂 (DOAC) 在美国被广泛使用,但为了获得最佳结果,需要在系统层面进行改进.
- 虽然退伍军人健康管理局已经在DOAC管理仪表板方面取得了成功,但国家采用情况尚不清楚.
研究的目的:
- 评估国家对数字DOAC管理工具的访问.
- 描述DOAC仪表板实施模型.
- 识别对DOAC仪表板开发和采用的障碍.
主要方法:
- 对抗凝血论坛成员进行了一项调查.
- 专家论坛召开,以确定障碍.
- 分析了340名受访者 (8.5%的受访者) 的数据.
主要成果:
- 在VA以外的少数受访者可以生成DOAC用户名单或数字显示临床数据.
- 较少的受访者能够识别毒品问题,记录干预措施或生成报告.
- 缺乏对抗凝血管理的监管要求被认为是主要障碍.
结论:
- 在VA系统之外,DOAC管理仪表板在全国范围内并不广泛使用.
- 缺乏对抗凝血管理的监管要求是数字工具开发的主要障碍.
- 需要努力制定监管要求,以改善抗凝剂管理.
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