对急诊室临床决策支持系统的形成性评估:激动症状的研究方案:研究方案
Ambrose H Wong1,2, Bidisha Nath2, Dhruvil Shah2
1Yale New Haven Health System, New Haven, Connecticut, USA wongambrose@gmail.com.
BMJ open
|February 19, 2024
概括
这项研究介绍了ED-TREAT,这是一个临床决策支持工具,旨在帮助急诊室 (ED) 识别和管理患有激动风险的患者. 目标是减少克制的使用和改善患者在行为危机期间的护理.
科学领域:
- 紧急医疗 紧急医疗
- 临床信息学 临床信息学
- 患者安全 患者安全
背景情况:
- 紧急诊所 (ED) 面临着越来越多的心理健康访问,焦虑是常见的问题.
- 目前预防骚乱的最佳做法包括早期评估和降级,但与系统相关的因素阻碍了实施.
- 需要工具来支持临床医生有效地管理行为危机.
研究的目的:
- 设计,开发和评估早期检测和治疗以减少激发工具 (ED-TREAT) 的事件,这是一个计算机化的临床决策支持系统.
- 为了识别患有激动风险的患者,并指导ED临床医生及时进行干预.
- 尽量减少束的使用,并提高患者在ED环境中的体验和结果.
主要方法:
- 使用上下文设计方法进行形成性评估,并使用以用户为中心的代设计来开发工具 (目标1).
- 从ED医生,护士,技术人员和有实践经验的患者收集定性数据.
- 在两个成人ED地点进行试点随机对照试验,以评估可行性,可信性和可接受性 (目标2).
主要成果:
- 该研究将报告ED-TREAT系统的形成性评估.
- 通过试点随机对照试验,将评估ED-TREAT工具的可行性,可靠性和床边可接受性.
- 计划招募至少26名符合条件的受试者参加试点试验.
结论:
- 开发和评估ED-TREAT的目的是解决在EDs中管理激动的挑战.
- 预计该工具将支持临床医生进行风险评估和干预,从而减少限制使用.
- 成功实施ED-TREAT可以提高患者在行为危机期间的安全性和结果.
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