随着时间的推移,临床医生对临床决策支持系统的接受和使用如何评估? 一个系统的审查
Nicki Newton1, Adeola Bamgboje-Ayodele1, Rowena Forsyth1
1Biomedical Informatics and Digital Health, School of Medical Sciences, Faculty of Medicine and Health, University of Sydney, Australia.
Studies in health technology and informatics
|January 25, 2024
概括
临床决策支持系统 (CDSS) 改善了患者护理,但临床医生的采用率很低. 了解随着时间的推移用户的需求对于有效实施和持续使用这些系统至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 人与计算机的交互
- 改善临床实践的改善
背景情况:
- 临床决策支持系统 (CDSS) 具有提高患者安全和护理质量的潜力.
- 由于临床医生接受度和在现实环境中采用度较低,CDSS的广泛益处往往受到限制.
- 目前的研究经常静态地检查临床医生对CDSS的经验,忽视了在实施后不断变化的用户需求.
研究的目的:
- 在部署后的不同时间点,系统地审查评估临床医生接受和使用CDSS在医院中的方法.
- 确定关于CDSS用户体验时间动态的研究缺口.
- 为未来的研究方向提供信息,以优化CDSS集成到临床工作流程中.
主要方法:
- 进行了全面的文献搜索,以确定相关研究.
- 七十六项研究符合审查的预定义纳入标准.
- 分析了在不同时间间隔捕捉临床医生的CDSS经验的方法.
主要成果:
- 定性研究方法未得到充分利用,尤其是在CDSS实施后的最初两个月.
- 在了解立即实施后的临床医生经验方面存在重大差距.
- 发现对用户需求和感知如何随着时间的推移而发展的洞察力有限.
结论:
- 未来的研究应该优先研究CDSS采用关键早期阶段的临床医生的经验.
- 了解实施后的立即反对于改进CDSS和支持长期临床使用至关重要.
- 需要采用各种方法的纵向研究,以充分理解CDSS接受和集成到临床工作流程的动态性质.
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