对肺栓塞 (PE) 诊断的基于人为因素的临床决策支持的实施后可用性评估 (Dx):PE Dx研究第一部分
Megan E Salwei1,2, Peter L T Hoonakker3, Michael Pulia3,4
1Center for Research and Innovation in Systems Safety, Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Human factors in healthcare
|May 20, 2024
概括
人为因素 (HF) 原则提高了临床决策支持 (CDS) 在现实世界临床环境中的可用性. 然而,设计缺口仍然存在,突出了医疗IT中加强以人为中心设计的领域.
科学领域:
- 医疗信息学 医疗信息学
- 人与计算机的交互
- 临床系统工程 临床系统工程
背景情况:
- 临床决策支持 (CDS) 工具为提高患者安全和临床医生的效率提供了潜力.
- 包括CDS在内的医疗IT的可用性差,限制了其广泛采用.
- 人为因素 (HF) 原则对于有效的医疗IT设计至关重要,但它们对CDS可用性的现实影响尚未得到充分探索.
研究的目的:
- 探索在紧急医疗环境中实施基于人类因素 (HF) 的CDS的可用性.
- 确定影响HF设计的CDS在临床实践中的可用性的特定障碍和促进因素.
- 了解HF原则和以人为中心的设计流程如何影响现实世界中的CDS可用性.
主要方法:
- 定性研究涉及采访12名急诊医学医生.
- 分析了294个摘录,详细介绍了与CDS使用相关的障碍和促进者.
- 诱导性对可用性问题的分类,将其与应用的HF原则和设计差距联系起来.
主要成果:
- 68%的识别的可用性问题与纳入CDS设计的高频原则有关.
- 32%的问题突出了以人为中心的设计过程中的差距,分为18个新主题.
- 障碍经常涉及物理环境,组织工作系统和更广泛的医生工作流程,包括团队合作.
结论:
- 高频原理显然有助于CDS在临床环境中的可用性.
- 以人为中心的设计过程中的差距,特别是关于工作流程和环境的差距,需要注意未来的CDS开发.
- 这项研究提供了对基于高频的CDS的现实世界可用性结果的见解,为未来的设计改进提供了信息.
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