作为健康信息技术实施方法的学术细节:支持设计和实施基于急诊室的临床决策支持工具,以防止未来的跌倒
Hanna J Barton1, Apoorva Maru1, Margaret A Leaf2
1BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison, Madison, WI, United States.
JMIR human factors
|April 18, 2024
概括
学术详细有效地支持临床决策支持 (CDS) 工具的实施,通过教育临床医生和识别障碍. 这种方法改善了在动态的临床环境中对医疗IT工具的理解和整合.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持系统 临床决策支持系统
- 医疗保健中的机器学习
背景情况:
- 具有机器学习的临床决策支持 (CDS) 工具可以增强临床医生的专业知识.
- 有效实施需要CDS工具,以便无地集成到临床医生的工作流程中.
- 涉及专家访问的学术细节可以确保工具的理解并确定实施因素.
研究的目的:
- 评估学术细节,以了解应急部门的CDS工具,以预防跌倒.
- 通过定性分析,确定影响临床医生使用CDS工具的因素.
主要方法:
- 开发了一个CDS工具,以识别高风险跌倒患者 (65岁以上) 和及时干预转诊.
- 进行了16次与急诊医学医生和先进实践提供者的学术详细访谈.
- 使用诱导式,以团队为基础的内容分析来确定影响CDS工具使用的因素.
主要成果:
- 影响CDS使用的关键因素包括工具设计,临床医生理解,急诊室环境,患者跌倒风险感知和转诊过程不透明度.
- 教育解决了误解,展示了转诊的方便性和澄清目的地诊所.
- 学术详细化促进了实施障碍的识别,并提供了直接的临床医生教育.
结论:
- 学术详细说明通过识别使用因素和同时教育临床医生来支持卫生IT实施.
- 这种方法允许实时调整和CDS工具的大规模重新设计.
- 学术细节有助于使CDS工具与临床医生的动态工作环境保持一致.
关键词:
这就是为什么CDS是CDS.这是一个CDS工具.环境 环境 环境 环境欧洲人权理事会 欧洲人权理事会这就是SEIPS.为患者安全提供系统工程倡议美国的美国.学术详细说明学术详细说明临床护理 临床护理临床决策支持 临床决策支持基于部门的部门.教育外展活动教育外展年长的年长的年长的年长的年长年长的老人老年人老年人.电子健康记录 电子健康记录紧急情况部门的急救部门.紧急医疗 紧急医疗基于证据的基于证据的证据.降落风险预测和预测老年人的医疗服务老年病的治疗方法老年病学 老年病学是一门学科.医疗信息技术 医疗信息技术高风险患者患者的高风险患者高危患者的高危患者.人类因素 人类因素实施方法的实施方法.面试 面试 面试 面试 面试机器学习是机器学习.年长的成年人.年龄较大的成年人.老年人年长的人.老年人是一个老人.制药公司的药品.药品销售 药品销售 药品销售预防性干预是预防性的干预.基于团队的分析分析.工作系统的工作系统.相关概念视频
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