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影响基于模型的精确剂量软件在重症监护室的整合和可用性的因素
Ming G Chai1,2, Natasha A Roberts1,3, Chelsea Dobbins4
1Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
基于模型的精确剂量 (MIPD) 软件显示了优化重症监护病房 (ICU) 抗菌剂剂量的潜力. 然而,临床医生认为该软件的可用性低于平均水平,并将刚性数据输入作为关键障碍.
科学领域:
- 药理学 药理学是指药理学的学科.
- 关键护理医学 关键护理医学
- 医疗信息学 医疗信息学
背景情况:
- 在重症患者中优化抗菌剂剂量存在重大挑战.
- 基于模型的精确剂量 (MIPD) 软件为个性化抗微生物治疗提供了潜在的解决方案.
- 目前在重症监护室 (ICU) 采用MIPD软件的数量仍然有限.
研究的目的:
- 评估ICU临床医生对MIPD软件的感知可用性.
- 确定在ICU环境中实施MIPD软件的障碍和推动因素.
主要方法:
- 一项混合方法研究,涉及使用MIPD软件的临床医生 (药剂师和医务人员).
- 使用研究后系统可用性问卷 (PSSUQ) 和技术接受模型2 (TAM2) 进行定量数据收集.
- 通过半结构面试收集定性数据,使用框架方法进行分析.
主要成果:
- 临床医生认为MIPD软件的可用性低于既定参考标准.
- 软件的接受率一般是有利的,图像相关领域除外.
- 整合的关键推动因素包括可访问的数据输入和明确的建议;障碍包括刚性数据输入和不合规的建议.
结论:
- MIPD软件的可用性得分低于良好可用性的值.
- 对参与者来说,专业临床医生支持的可用性是关键因素.
- 严格的数据输入系统被认为是软件采用的重要威因素.
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