医院抗微生物管理团队对计算机化临床决策支持系统的感知和可用性
Alexandre Baudet1, Marie-Jo Brennstuhl2, Alexandre Charmillon3
1Université de Lorraine, Inserm, INSPIIRE, F-54000 Nancy, France; Université de Lorraine, CHRU-Nancy, Service d'Odontologie, F-54000 Nancy, France.
International journal of medical informatics
|October 15, 2024
概括
计算机化临床决策支持系统 (CDSS) 有助于抗菌药物管理 (AMS) 计划. 这项研究发现,CDSS提供了好处,但需要仔细实施,解决技术和人力因素的成功采用和可用性.
科学领域:
- 医疗信息学 医疗信息学
- 临床药房 临床药房
- 传染性疾病 传染性疾病
背景情况:
- 抗生素管理 (AMS) 计划优化了抗生素的使用.
- 计算机化临床决策支持系统 (CDSS) 通过半自动审查来增强AMS.
- 评估最终用户对商业CDSS的看法对于成功实施至关重要.
研究的目的:
- 评估商业CDSS的最终用户促进者,障碍和好处.
- 评估实施的CDSS的可用性.
- 在AMS中确定影响CDSS采用的因素.
主要方法:
- 在实施9个月后,采用混合方法方法.
- 来自半结构面试的定性数据探索了用户的感知.
- 来自系统可用性量表 (SUS) 的定量数据评估了可用性.
主要成果:
- 定性分析确定了技术,组织和人类障碍/促进者.
- 成功采用CDSS需要IT协作,资源,培训和领导力.
- 该CDSS表现出良好的易于使用 (SUS中位数: 77.5/100).
结论:
- 研究的CDSS为支持AMS活动提供了价值.
- 实施和采用受到识别的障碍和促进者的影响.
- 考虑这些因素可以帮助在其他医疗保健机构中实施CDSS.
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