临床决策支持系统以指南为基础治疗淋巴球菌感染,艾滋病毒查和处方暴露前预防:设计和实施研究研究
Saugat Karki1, Sarah Shaw2, Michael Lieberman3,4
1Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States.
JMIR formative research
|April 15, 2024
概括
一个新的临床决策支持 (CDS) 工具整合了电子健康记录,以改善淋病治疗和艾滋病毒查. 该系统成功地指导临床医生,加强对性传播感染 (STIs) 的指导方针的遵守.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗信息学 医疗信息学
背景情况:
- 淋病和艾滋病毒的综合性需要综合干预措施.
- 电子健康记录 (EHR) 可以支持临床决策支持 (CDS) 工具,用于协同治疗和查.
- 一个CDS工具可以改善对淋病,艾滋病毒和暴露前预防 (PrEP) 的疾病控制和预防中心 (CDC) 准则的遵守.
研究的目的:
- 将疾病预防控制中心关于淋病治疗,艾滋病毒查和PrEP处方的指导方针转化为基于EHR的CDS干预.
- 评估开发的CDS解决方案在临床环境中的实际可行性,使用和可用性.
主要方法:
- 开发了四个CDS工具:SmartForm (性史),最佳实践咨询 (警报),SmartSet (STI订单集) 和SmartText (文档模板).
- 在12周内采用混合方法前后设计,专注于"X-Clinic"的临床医生.
- 通过调查,关键信息人采访和分析患者遇到淋病或性传播疾病的主要投诉来收集数据.
主要成果:
- 在10.08%的遭遇中,CDS系统提醒临床医生 (348/3451).
- 在52.33%的相关患者中,SmartForms被打开,89.81%的患者被完成.
- 对于54%的患者,STI测试订单被启动,HIV查发生在54.89%的遭遇中.
结论:
- 成功开发和实施一个集成的CDS解决方案,整合多个CDC指南.
- 该CDS工具被整合到临床工作流程中,并显示出高使用率.
- 该干预措施在改善临床实践中的性传播感染和艾滋病毒管理方面显示出前景.
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