情境意识的可用性测试 临床决策支持在重症监护病房
Matthew J Molloy1,2,3, Matthew Zackoff1,4, Annika Gifford5
1Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States.
儿科重症监护室 (PICU) 警告工具显示了良好的可用性,可以提高医疗团队的意识,防止安全事件. 实施后的测试确定了增强这种临床决策支持 (CDS) 工具的领域.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 医疗信息学 医疗信息学
- 人与计算机的交互
背景情况:
- 临床决策支持 (CDS) 工具可以提高儿科重症监护室 (PICU) 的患者安全.
- 医疗团队之间的共同情况意识对于预防高急性环境中的不良事件至关重要.
- 之前在PICU中实施了CDS工具,旨在提高团队的意识.
研究的目的:
- 在PICU中评估自动化CDS工具的可用性.
- 评估该工具在促进医疗团队之间共享情况意识方面的有效性.
- 确定CDS工具的改进机会,以防止安全事件.
主要方法:
- 采用混合方法方法,结合定量 (系统可用性量表 - SUS) 和定性 (大声思考可用性测试) 评估.
- 这项研究是在一个大型城市儿童医院的PICU中进行的.
- 测量了任务完成时间,并从各种 PICU 工作人员那里收集了定性反.
主要成果:
- 51名工作人员完成了SUS,平均得分为87.5 (IQR:80-95),超过96%的可用性评分为"好"或"优秀".
- 大声思考测试涉及十名参与者;任务时间从2秒到92秒不等.
- 积极的反强调了可学习性和清晰的信息显示,而需要改进的领域包括工作流集成.
结论:
- 该PICU警告工具在重症监护环境中表现出良好的可用性.
- 实施后的可用性测试对于改进CDS工具非常有价值.
- 进一步的改进可以加强CDS工具的整合到临床工作流程中.
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