探索家庭医疗保健临床医生使用临床决策支持系统的需求,以提前警告风险
Zidu Xu1, Lauren Evans2, Jiyoun Song3
1School of Nursing, Columbia University, New York, NY 10032, United States.
Journal of the American Medical Informatics Association : JAMIA
|September 20, 2024
概括
家庭医疗保健临床医生需要特定的临床决策支持系统 (CDSS) 信息传递,用于早期风险预警. 优化CDSS集成需要与CDS"五项权利"框架保持一致,以满足临床医生的需求和工作流需求.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 临床决策支持 临床决策支持
- 主页 医疗保健 医疗保健
背景情况:
- 家庭医疗保健 (HHC) 依赖于及时的信息来早期发现风险.
- 临床决策支持系统 (CDSS) 提供了提高HC的风险评估的潜力.
- 了解临床医生的需求对于有效实施CDSS至关重要.
研究的目的:
- 探索家庭医疗保健 (HHC) 临床医生对临床决策支持系统 (CDSS) 信息传递的要求.
- 通过使用CDSS在HHC工作流程中确定早期风险预警的最佳策略.
- 为了使CDSS的功能与HHC临床医生的实际需求保持一致.
主要方法:
- 与多学科的HHC临床医生进行了半结构化采访.
- 这项研究以CDS"五项权利"框架为指导.
- 用演和归纳内容分析来分析临床医生的反应.
主要成果:
- 临床医生希望风险水平以颜色编码的条形状,明确的指标和可操作的EHR集成指令.
- 首选的警报是非侵入性的,具有强制性确认,根据患者的敏度和访问速度进行更新.
- 担忧包括工作量,警报疲劳,数据隐私,以及需要对CDSS逻辑进行培训.
结论:
- CDSS可以改善HHC的早期风险预警,但存在实施挑战.
- 解决临床医生对工作量,疲劳和可解释性的担忧对于CDSS采用至关重要.
- 为了有效地将CDSS整合到HHC中,建议对CDS"五权利"框架进行操作.
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