临床决策支持,以减少阿片类药物处方的牙提取使用SMART在FHIR:执行报告的执行报告
D Brad Rindal1, Dhavan Prasad Pasumarthi1, Vijayakumar Thirumalai1
1HealthPartners Institute, Minneapolis, MN, United States.
JMIR medical informatics
|November 7, 2023
概括
这项研究为牙医开发了一种临床决策支持 (CDS) 工具,以个性化疼痛管理和减少提取后的阿片类药物处方. 整合到EHR的系统在护理地点提供基于证据的建议.
科学领域:
- 医疗信息学 医疗信息学
- 牙科手术 牙科手术
- 临床决策支持系统 临床决策支持系统
背景情况:
- 临床决策支持 (CDS) 增强了基于证据的护理,并可以优化止痛药的处方.
- 个性化的CDS工具可以提高医疗保健提供者的效率和安全性.
研究的目的:
- 描述一个CDS系统的发展,让牙医可以个性化提取后的疼痛管理.
- 评估该CDS系统在减少阿片类药物处方方面的利用情况.
主要方法:
- 使用FHIR上的SMART开发了一个CDS应用程序,集成EHR数据 (医疗,牙科,患者病史).
- 该系统包括药物相互作用算法和访问州处方监测计划数据.
- 在牙提取程序的EHR系统中实现了CDS.
主要成果:
- 提供商对CDS的使用情况各不相同,有些人在87%的遭遇中打开CDS.
- 该研究检查了实施期间 (2020年2月至2021年5月) 的阿片类药物处方模式.
结论:
- 开发的CDS是一个嵌入EHR的工具,帮助牙医提供个性化的疼痛管理建议.
- 基于FHIR的SMART CDS是适应性强,可扩展性强,并且不依赖于牙科机构的EHR供应商.
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