将基于证据的临床指导方针转化为可实施的临床决策支持服务:用于多重疾病管理的CAREPATH研究
Mert Gencturk1, Gokce B Laleci Erturkmen1, A Emre Akpinar1,2
1SRDC Software Research & Development and Consultancy Corporation, Ankara, Türkiye.
一种新方法将临床指南标准化为患者护理的自动决策支持服务. 这种方法确保了老年人多种疾病的医疗保健提供的一致性和可靠性.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持 临床决策支持
- 老年医疗护理 医疗护理
背景情况:
- 患有多种疾病的老年人,包括轻度认知障碍或痴呆症,需要综合,以患者为中心的护理.
- 多学科团队需要工具来创建与基于证据的指导方针一致的个性化护理计划.
- 通过临床决策支持 (CDS) 服务自动化临床指南对于一致性和效率至关重要.
研究的目的:
- 开发一种方法来生成CDS服务的可执行规范.
- 将基于证据的临床指南转化为自动化的CDS服务.
- 支持CAREPATH项目创建一个以患者为中心的综合护理平台.
主要方法:
- 建立了一个联合创建框架,涉及临床专家和软件工程师.
- 使用可重复和可追溯的方法将指南叙述转化为CDS规范.
- 为了实现互操作性,利用了CDS-Hooks和HL7 FHIR等国际标准.
主要成果:
- 为65个CDS服务创建了可执行的规范,自动化了25个基于证据的指南的共识指南.
- 定义了296个CDS规则,其中的参数与FHIR资源和国际代码系统相关.
- 创建了346张CDS卡,为护理计划活动提供指导和目标建议,并集成到CAREPATH平台中.
结论:
- 该方法提供了一个系统和可复制的过程,用于生成CDS规范.
- 临床和技术专家之间的合作提高了规范的质量和相关性.
- 可追溯性确保遵守指南建议,并促进利益相关者跟踪.
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