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技术实施的以用户为中心的框架 (UFIT):为设计临床决策支持工具而开发一个综合框架,其中包含量身定制的实施策略
Jessica Ray1, Emily Benjamin Finn2, Hollyce Tyrrell3
1Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, Gainesville, FL, United States.
Journal of medical Internet research
|May 21, 2024
概括
本研究介绍了以用户为中心的技术实施框架 (UFIT),用于为各种医疗保健环境量身定制临床决策支持 (CDS),改进基于证据的实践采用.
科学领域:
- 医疗信息学 医疗信息学
- 实施科学 实施科学
- 人与计算机的交互
背景情况:
- 基于电子健康记录的临床决策支持 (CDS) 工具在多个地点采用时面临障碍,原因是工作流程和用户变化.
- 在异质环境中翻译基于证据的CDS需要平衡核心功能与上下文适应.
研究的目的:
- 开发和应用一个框架,指导在各种临床环境中定制和实施CDS.
- 在多站点试验中解决CDS工具的传播和实施障碍.
主要方法:
- 开发了以用户为中心的技术实施框架 (UFIT),集成以用户为中心的设计,人为因素/人体工程学和实施科学.
- 进行了41次半结构化采访,与3个美国卫生系统的儿科初级保健临床医生和利益相关者进行了采访.
- 利用定性访谈进行形成性评估,为CDS适应和实施战略提供信息.
主要成果:
- 工作流分析确定了3个关键的临床医生与电子健康记录的交互点,在健康儿童访问期间提供决策支持机会.
- 跨背景的实践模式的差异突出了需要采用多方位设计方法的需要.
- 确定了用户的各种需求,偏好和实施战略要求.
结论:
- UFIT框架整合了多个科学学科,以提高CDS与当地环境的适应性,以改善结果.
- UFIT指导了"使用提示程序改善儿科肥胖实践"的开发,这是一个包含量身定制的实施策略的CDS包.
- 该框架促进在各种临床环境中成功采用基于证据的CDS.
关键词:
孩子孩子孩子孩子孩子孩子孩子们的孩子们的孩子们的孩子们.临床决策支持 临床决策支持决策支持提供了决策支持.设计 设计 设计 设计发展 发展 发展 发展发展发展发展发展发展.数字健康数字健康一个基本的框架框架.框架 框架 是一个框架.这是指导的指导,指导的指导.这是一个指导方针.这些指导方针是指导方针.卫生技术 卫生技术 卫生技术医疗技术 医疗技术 医疗技术人类因素 人类因素实施实施实施实施实施.实施科学 实施科学需要,需要,需要.需要需要需要需要需要需要.肥胖的 肥胖的 肥胖的肥胖 肥胖 肥胖 肥胖 肥胖 肥胖 肥胖 肥胖超重的人超重.儿科 儿科 儿科儿科 儿科 儿科 儿科主要护理是一级医疗保健.一个裁,一个裁.裁服务 裁服务以用户为中心,以用户为中心.以用户为中心的设计体重 体重 体重 体重 体重相关概念视频
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