将以人为中心的设计应用于肝硬化管理临床决策支持系统的构建
Jin Ge1, Ana Buenaventura2, Beth Berrean2
1Department of Medicine, Division of Gastroenterology and Hepatology, University of California-San Francisco, San Francisco, California, USA.
Hepatology communications
|February 26, 2024
概括
以人为中心的设计 (HCD) 用于创建CirrhosisRx,这是一个基于电子健康记录 (EHR) 的临床决策支持工具,用于肝硬化管理. 该HCD处理精细的功能和界面,确定全科医生作为目标用户.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 医疗信息学 医疗信息学
- 人与计算机的交互
背景情况:
- 基于电子健康记录 (EHR) 的临床决策支持 (CDS) 系统为临床护理提供了可扩展的标准化.
- 对于肝硬化管理,CDS系统的研究不足.
- 以人为中心的设计 (HCD) 让最终用户参与干预开发.
研究的目的:
- 应用HCD来设计CirrhosisRx的功能和界面,这是一个基于EHR的CDS系统,用于肝硬化管理.
- 确定目标用户和有效的肝硬化管理干预的基本特征.
主要方法:
- 进行了界面蓝图的技术可行性评估.
- 与全科医生和专家临床医生召开合作设计研讨会.
- 引发了工作流程,评估了EHR缺口,评估了功能,并通过工作坊分析完善了CirrhosisRx原型.
主要成果:
- 临床医生反优先将临床数据聚合到6个脱补偿领域.
- 由于对准确性的担忧,从EHR数据中自动推断临床事件被拒绝.
- 风险分层评分的可视化被认为是不必要的;一般学家被确定为目标用户.
结论:
- 这项研究代表了HCD的新应用,用于设计基于EHR的肝硬化治疗干预措施.
- 通过修改功能和界面,HCD过程提高了CirrhosisRx的可用性.
- 最终完成的CirrhosisRx设计将接受实用随机对照试验,为未来肝病学EHR干预提供一个模型.
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