实施临床决策支持工具,以增加早期引入花生指南
Annabelle F Rowland1, Thinh H Nguyen2, Priscila P Cunha1
1Department of Pediatrics, Emory University School of Medicine, Atlanta, Ga.
The Journal of allergy and clinical immunology
|July 12, 2024
概括
临床决策支持 (CDS) 工具显著改善了儿科提供者关于早期引入花生的讨论. 这种工具提高了指导方针的认识,并在婴儿中成功引入花生.
科学领域:
- 儿童过敏预防和预防
- 临床信息学是一种临床信息学.
- 公共卫生 公共卫生
背景情况:
- 由于指导方针快速变化,儿童医疗提供者经常缺乏讨论早期花生引入的信心.
- 有效的沟通策略对于实施最新的婴儿养建议至关重要.
研究的目的:
- 评估临床决策支持 (CDS) 工具是否可以加强提供者和家庭之间关于早期引入花生的讨论.
- 评估CDS工具对提供者意识,舒适度和成功引入花生率的影响.
主要方法:
- 开发和测试CDS工具的可用性,将其集成到电子健康记录中.
- 使用电子健康记录数据对提供者与家庭关于花生引入的对话进行干预前后评估.
- 提供者调查评估了指导方针的认识和工具的可用性.
主要成果:
- 提供者对早期引入花生指南的认识从17.8%增加到66.7%.
- CDS工具在多个健康儿童访问 (WCC) 中大大改善了花生介绍对话,比率从2.4%-3.0%上升到80%以上.
- 在12个月的WCC中,62.8%的家庭没有担心地引入花生,家庭对益处的不认识是其他人的主要障碍.
结论:
- 一个点照顾的CDS工具有效地促进了儿科提供者和患者之间的早期花生引入讨论.
- CDS工具对于旨在实施当前临床指南的质量改进计划是有价值的.
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