改善临床途径决策支持的常规使用,通过将电子病历与临床图书馆资源集成,旨在在瘤学工作流程中提供基于证据的指导
Mary Ichiuji1, Laura Asakura2, Carol Cain3
1The Permanente Federation, 1 Kaiser Plaza, Oakland, CA, 94612, USA.
BMC health services research
|May 1, 2024
概括
医生很容易地采用基于证据的瘤护理途径,当整合到电子健康记录. 这改善了对最新的癌症治疗证据的遵守,提高了患者的护理.
科学领域:
- 在瘤学瘤学.
- 临床信息学 临床信息学
- 基于证据的医学 基于证据的医学
背景情况:
- 瘤治疗迅速发展,这使得医生难以一致地应用最新的证据.
- 医生需要用户友好,集成的工具来支持基于证据的决策在护理点.
研究的目的:
- 评估医生采用综合,基于证据的瘤护理途径.
- 评估可访问的临床决策支持对治疗决策的影响.
主要方法:
- 临床专家开发和更新了瘤药物治疗途径.
- 路径被编码为流程图,并集成到电子病历 (EMR).
- 随着时间的推移,收集和分析了医生使用和咨询数据.
主要成果:
- 在两年内实现了超过75%的符合条件的协议使用率.
- 超过90%的瘤学家至少一次咨询了路径,没有授权或激励.
- 用户反促进了路径的改进和更新.
结论:
- 可访问和可操作的临床决策支持显著增加了医生对基于证据的治疗指南的咨询.
- 这种方法推动了将癌症治疗与最新科学证据保持一致的目标.
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