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临床决策支持系统实施的哪些特点导致其被采用为常规使用? 一个范围审查审查
Adele Hill1, Dylan Morrissey2, William Marsh3
1Sport and Exercise Medicine, Queen Mary University, London, UK.
BMJ health & care informatics
|August 24, 2024
概括
很少有数字临床决策支持 (CDS) 系统被采用到实践中. 成功实施需要组织支持,优化工作流程和代的临床医生参与,弥合研究与实践之间的差距.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 临床决策支持系统 临床决策支持系统
背景情况:
- 许多原型临床决策支持 (CDS) 系统存在,但尽管研究结果积极,但很少在临床实践中得到广泛采用.
- 研究结果与数字医疗创新的现实实施之间的差距仍然是一个重大挑战.
研究的目的:
- 探索在临床实践中实施的临床决策支持系统 (CDS) 的特点.
- 确定影响CDS在日常医疗保健中的采用和整合的关键因素.
主要方法:
- 在多个数据库 (Web of Science,PubMed,Trip数据库) 和灰色文学来源中进行了全面的文献搜索.
- 包括关于提供临床医生途径建议的CDS系统的报告研究,被采纳为常规实践,并具有足够的数据进行分析.
- 标准化过程理论 (NPT) 框架指导了实施特征的分析.
主要成果:
- 对已实施的22个CDS项目的分析表明,组织支持对于成功采用至关重要.
- 为患者护理优化临床工作流程和采用代,混合方法实施策略是临床医生参与的关键.
- 尽管进行了广泛的搜索,但发现了很少的实施CDS的例子,这凸显了实施差距.
结论:
- 该研究强调,CDS等数字医疗创新的发展与其在临床环境中的实际实施之间存在很大的差距.
- 未来创新的关键教训包括需要强有力的组织支持,强大的混合方法实施方法,以及基于临床医生的反的持续适应.
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