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构建学习:信息技术创新,以实现快速务实评估在一个学习健康系统的学习
Geetanjali Rajamani1,2, Genevieve B Melton2,3,4,5, Deborah L Pestka2
1Medical School University of Minnesota Minneapolis Minnesota USA.
这项研究建立了一个务实的临床试验单元,通过评估健康信息技术 (HIT) 创新来改善学习健康系统 (LHS). 关键发现突出了成功交付和推进LHS项目所需的协作努力.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 实施科学 实施科学
背景情况:
- 学习健康系统 (LHS) 整合了证据的生成和实施,以提高患者的护理,并产生可泛化的知识.
- 实用性临床试验非常适合LHS,将现实数据与严格的方法合并为更广泛的适用性.
研究的目的:
- 建立一个实用的临床试验单位 (RapidEval),以支持LHS的发展.
- 描述卫生信息技术 (HIT) 在改善LHS项目交付方面的作用,包括创新和挑战.
主要方法:
- 2021年12月至2023年2月期间,八个项目从51个申请中被选中用于RapidEval计划.
- 评估研究前的计划,实施,分析和关闭,收集调查人员,质量/IT人员和计划领导的数据.
- 收集了关于研究选择,设计,部署,数据收集和分析流程的见解.
主要成果:
- 已实施了五个项目,其中一项正在试点测试中,另外两项正在规划阶段.
- 实施利用了各种HIT功能,如警报,临床决策支持,患者导航器和通信工具.
- 采用了各种研究设计,包括随机阶段,集群随机化和患者级随机化.
结论:
- 成功的研究选择,设计,部署,数据收集和分析需要密切的跨学科合作.
- 有效的LHS进步依赖于理解和整合HIT解决方案,并应对相关挑战.
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