在一个随机试验中,以用户为中心的设计和实现一个可互操作的FHIR应用程序用于儿童肺炎预后
Robert W Turer1, Stephen C Gradwohl2, Justine Stassun2
1Department of Emergency Medicine and Clinical Informatics Center, UT Southwestern Medical Center, Dallas, Texas, United States.
Applied clinical informatics
|April 2, 2024
概括
使用以用户为中心的设计和快速医疗互操作性资源 (FHIR) 标准开发了儿童肺炎的预后工具. 该工具通过改善急诊室的风险沟通和数据采集来支持临床试验.
科学领域:
- 儿科急救医学 儿科急救医学
- 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:
- 儿童肺炎的预后需要有效的风险沟通.
- 电子健康记录 (EHR) 的整合对于临床试验支持至关重要.
- 以用户为中心的设计 (UCD) 原则提高了医疗保健中的工具采用.
研究的目的:
- 设计,测试和部署儿童肺炎的预后工具在急诊室 (EDs).
- 支持使用UCD和可互操作软件的实用性,基于EHR的随机对照试验.
- 改善临床试验目的的风险沟通和数据采集.
主要方法:
- 应用UCD原则和基于证据的风险沟通策略.
- 开发了一个集成的SMART快速医疗互操作资源 (FHIR) 网络应用程序.
- 使用了UCD框架,包括用户研究,原型设计和不同EHR供应商 (Epic,Cerner) 的评估.
主要成果:
- 用户研究确定了对风险回避,可访问性和风险沟通时间的偏好.
- 代设计结合了计算能力,风险框架和可视化技术.
- 在两个EDs成功部署促进了试验招生,随机化和数据捕获.
结论:
- 成功实施强调了UCD,现代临床数据标准 (FHIR) 和严格测试的重要性.
- 关键的教训包括了解用户需求,知识管理和仔细配置FHIR应用程序以实现互操作性.
- 这种方法证明了开发和部署临床试验支持工具在各种电子健康记录系统中的可行方法.
更多相关视频
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
1.3K
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.1K
相关概念视频
01:30Pneumonia III: Complications and Assessment
206
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
206
01:28Pneumonia IV: Management
324
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
324
01:30Pneumonia V: Nursing management and Prevention
2.0K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.0K