一种用于连续测量临床实践准则遵守性的新方法
Kees C W J Ebben1, Cornelis D de Kroon2, Channa E Schmeink3
1Department of Research and Development Netherlands Comprehensive Cancer Organization (IKNL) Utrecht The Netherlands.
这项研究引入了一种新的方法,用于评估临床实践指南,使用来自癌症登记册的真实数据. 该方法可以持续监测指南的遵守情况,并确定癌症治疗需要改进的领域.
科学领域:
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
- 临床实践指南 临床实践指南
背景情况:
- 临床实践指南 (CPG) 对于基于证据的癌症护理至关重要,但监测遵守是具有挑战性的.
- 来自癌症登记册的现实数据为评估指南实施提供了持续的来源.
- 通过有效遵守指南,可以减少护理的变化.
研究的目的:
- 开发和应用一个结构化的方法来评估使用现实世界的数据CPG.
- 为了能够持续监测癌症患者遵守指南的情况.
- 为交互式指南评估创建一个原型仪表板.
主要方法:
- 临床指南被翻译成临床决策树 (CDT).
- 创建了一个信息标准,并绘制了来自荷兰癌症登记处 (NCR) 的数据.
- 通过将指导方针建议与现实数据进行比较,对遵守情况进行了分类.
主要成果:
- 该方法产生了68个数据项目用于信息标准.
- 32个NCR数据项目被映射到信息标准.
- 通过使用NCR数据进行分析,四个CDT被充分填充.
结论:
- 该方法促进了指导方针的评估,识别了改进和实施成功的领域.
- 它可以精确地确定影响临床决策的患者和疾病因素.
- 这种方法支持学习医疗循环,将现实世界的数据与外部知识相结合,以实现持续改进.
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