临床决策支持系统对肝脏超声波检查利用模式的影响
Lior Benjamin Pilas1, Orit Gur2, Gidon Berger3
1Department of Internal Medicine B, Rambam Health Care Campus, Haifa, Israel.
The Israel Medical Association journal : IMAJ
|November 19, 2023
概括
临床决策支持系统 (CDSS) 部分改善了腹部超声波电子健康记录数据的完整性. 虽然CDSS没有显著影响准则的遵守或诊断价值,但CDSS增强了订单表格数据输入,促进了适当的测试利用.
科学领域:
- 医疗成像医学成像
- 医疗信息学 医疗信息学
- 临床决策支持 临床决策支持
背景情况:
- 先进的成像和实验室测试提高了诊断.
- 不适当的测试使用对患者护理和医疗保健系统构成重大挑战.
研究的目的:
- 评估一种新的临床决策支持系统 (CDSS) 对腹部超声波在电子医疗记录中的利用的影响.
主要方法:
- 追溯队列研究,比较CDSS实施前后的腹部超声波指令.
- 根据指导方针,诊断价值和订单表的完整性订购的分析测试.
- 用于统计比较的奇平方测试.
主要成果:
- 根据指导方针或具有诊断价值的测试没有统计学上显著的改善.
- 实施CDSS导致完成订单表的数量大幅增加,其中包含特定的诊断问题.
结论:
- CDSS在提高测试利用效率方面表现出部分影响.
- 结果表明CDSS在促进适当使用诊断技术方面的潜力.
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