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个人临床主管机构在实施基于人群的药物管理信息化工具中的作用:定性半结构面试研究
Allison Ranusch1, Ying-Jen Lin2, Michael P Dorsch3,4
1Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, United States.
JMIR human factors
|October 24, 2023
概括
授权临床药剂师和护士对于成功实施旨在提高直接口服抗凝剂 (DOAC) 处方安全性的电子健康记录 (EHR) 仪表板至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 临床药房 临床药房
- 患者安全 患者安全
背景情况:
- 直接口服抗凝剂 (DOACs) 经常被不适当地处方,导致不良事件.
- 电子健康记录 (EHR) 的人口健康工具旨在加强安全的DOAC处方.
- 不足够的非医生赋权阻碍了这些EHR工具的有效性.
研究的目的:
- 调查临床医生权威如何影响实施EHR DOAC仪表板的成功.
- 了解临床医生权威对安全的DOAC药物处方的影响.
主要方法:
- 与药剂师和护士进行了半结构化的采访,这些药剂师和护士在EHR DOAC仪表板实施后进行了采访.
- 采访记录被编码,以确定实施成功的关键决定因素.
- 分析了临床医生权威和其他决定因素之间的相互作用.
主要成果:
- 高临床医生权威与促进者相关,如更好的沟通和EHR集成.
- 缺乏临床医生的权威与有效使用DOAC仪表板的障碍有关.
- 个别机构对其他实施因素产生了积极影响.
结论:
- 提高临床医生的权威对于有效实施EHR DOAC人口管理仪表板至关重要.
- 临床医生赋权对更广泛的实施方面产生了积极影响.
- 解决权威障碍是优化DOAC安全工具的关键.
关键词:
在 DOAC 系统中使用 DOAC.欧洲人权理事会 欧洲人权理事会电子人权 (EHRs) 是一种电子人权.抗凝固剂是一种抗凝固剂.抗凝固剂是一种抗凝固剂.血栓凝块是什么意思 凝块凝块血块 凝块 凝块 是一个凝血 凝血是指凝血的发生.仪表板上的仪表板这是一种直接的口服抗凝剂.电子健康记录 电子健康记录医疗记录 医疗记录实施实施实施实施实施.实施科学 实施科学个人临床医生权威面试 面试 面试 面试 面试面试 面试 面试 面试医疗信息学是一门医学信息学专业.药物治疗 药物治疗药剂师 药剂师 药剂师 药剂师药理学 药理学 药理学 药理学 药理学药房 药房 药房 药房人口管理 人口管理处方 处方 处方 处方 处方处方是指给人开处方的满意度 满足感 满足感更多相关视频
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