一个临床决策支持系统,以解决紧急部门的健康相关社会需求:定义最终用户的需求和偏好
Olena Mazurenko1,2, Adam T Hirsh3, Christopher A Harle1,4
1Department of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, Indiana, United States.
Applied clinical informatics
|December 18, 2024
概括
紧急部门的临床医生更喜欢视觉上有吸引力的临床决策支持系统,并集成到EHR中,以识别与健康相关的社会需求 (HRSNs) 相关的患者. 这些系统应该针对特定的患者群体,并突出关键的HRSN,以便及时干预.
科学领域:
- 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
- 以用户为中心的设计
背景情况:
- 与健康相关的社会需求 (HRSNs) 显著影响患者的健康结果,并增加急诊室 (ED) 的利用率.
- 尽管HRSN的患病率很高,但在ED环境中仍未得到充分的识别.
- 临床决策支持 (CDS) 系统为ED中系统的HRSN查提供了一个潜在的解决方案.
研究的目的:
- 确定急诊室 (ED) 临床医生和工作人员设计和实施以健康相关社会需求 (HRSNs) 为重点的临床决策支持 (CDS) 系统的偏好.
主要方法:
- 采用以用户为中心的设计方法,结合了与ED工作人员的定性半结构面试.
- 对现有的ED工作流程进行了观察,包括电子健康记录 (EHR) 系统的使用.
- 举办了一个多学科设计研讨会,以收集协作意见.
主要成果:
- 紧急救护医生和工作人员希望使用与HRSN相关的CDS系统,该系统在视觉上具有吸引力,具有颜色编码,并且可以在EHR中轻松访问.
- 该系统应专注于从ED出院的患者,并在工作流程的早期优先考虑关键的HRSN.
- 关键功能包括提供可操作的步骤,并通知临床团队关于解决的HRSN.
结论:
- 以用户为中心的设计产生了对ED中有效的HRSN相关CDS系统的特定偏好.
- 未来的研究将涉及系统的实施,改进和评估其对HRSNs临床护理和患者转诊的影响.
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