提前接受:评估ESR iGuide临床决策支持系统的接受性,以改善计算机断层扫描测试证明
Clara Singer1, Osnat Luxenburg2, Shani Rosen1
1Research Center for Medical Technology Policy and Innovation, The Gertner Institute for Epidemiology and Health Policy Research, The Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
欧洲放射学家协会 (ESR) iGuide临床决策支持系统 (CDSS) 提高了计算机断层扫描 (CT) 检查推的适当性. 然而,医生报告说,信任度低,临床价值微不足道,阻碍了系统的采用.
科学领域:
- 放射学 放射学是一门学科.
- 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:
- 在有效的成像推指南的可用性和使用方面存在差距.
- 欧洲放射学家协会 (ESR) 开发了iGuide,一个临床决策支持系统 (CDSS),以解决这些差距.
- 这项研究评估了ESR iGuide对计算机断层扫描 (CT) 检查适当性和医生系统接受度的影响.
研究的目的:
- 在实施ESR iGuide之前和之后评估CT考试的适当性.
- 评估医生对ESR iGuide的可用性和接受度.
- 确定影响成像推适当性的因素.
主要方法:
- 一个回顾性单一中心研究比较了在 (T1) 实施ESR iGuide之前的278个CT转诊和在 (T2) 实施ESR iGuide之后的85个CT转诊.
- 两位专家使用0-9级别评估了成像推的适当性.
- 医生们填写了系统可用性量表问卷.
主要成果:
- 平均适当性得分从6.62 ± 2.69 (T1) 增加到7.88 ± 1.4 (T2).
- 适当的CT转诊率从70.14% (T1) 增加到96.47% (T2).
- 医生报告说,系统信任度低,临床价值微不足道,100%的人不愿推使用.
结论:
- 该ESR iGuide有效指导选择合适的成像测试,提高转诊的适当性.
- 医生信任和系统使用率仍然很低,这凸显了CDSS接受方面的挑战.
- 需要进一步的研究,以了解CDSS的接受程度,并最大限度地发挥其适合成像转诊的潜力.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
06:16Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
相关概念视频
Computed Tomography
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
Imaging Studies I: CT and MRI
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Radiological Investigation I: X-ray and CT
Positron Emission Tomography
One of the main requirements of a PET scan is a positron-emitting radioisotope, which is produced in a cyclotron and then attached to a substance used by the part of the body...
