临床医生开发的应用程序在促进遵守基于证据的指南中的作用:试点研究
Madhu Prita Prakash1, Aravinda Thiagalingam2,3
1Department of Haematology, Westmead Hospital, Corner Darcy Rd and Hawkesbury Rd, Westmead, Sydney, 2145, Australia, 61 413787632.
JMIR cardio
|December 31, 2024
概括
针对急性冠状动脉综合征评估途径 (PACSA) 准则的新移动应用程序是纸质文件的更快,更简单的替代方案. 这种临床决策支持系统可以改善对基于证据的急性冠状动脉综合征护理的坚持.
科学领域:
- 临床信息学 临床信息学
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
背景情况:
- 计算机化临床决策支持系统 (CDSS) 在医疗保健中越来越多地被采用.
- 移动应用程序是CDSS的一种形式,在生活方式干预中很常见,但在急性护理中研究较少.
- 急性冠状动脉综合征评估途径 (PACSA) 准则存在于纸质或PDF文档中,临床医生遵守不确定.
研究的目的:
- 评估PACSA指南的移动应用版本的实用性和可接受性.
- 为了将应用程序的性能与现有的纸质PACSA文件进行比较,用于紧急部门的胸痛评估.
主要方法:
- 一位心脏病专家用REDCap在不到3个小时内开发了一个PACSA移动应用程序.
- 该应用程序对患者风险分层的PACSA指导方针进行了顺序呈现.
- 紧急部门的医生在假设病例中使用了该应用程序,并完成了一项调查,以了解其与纸质文件相比的优势.
主要成果:
- 31名参与者 (从初级医生到高级医生) 参与其中.
- 临床人员对纸质PACSA文件的遵守率很低 (55%从未使用过).
- 42%的人认为应用程序更容易使用,58%的人认为它比纸质版本快;感知到的有用性是相似的.
结论:
- PACSA应用程序是纸质指南的更有效和更易于使用的替代方案.
- 该应用程序可能会提高临床医生对基于证据的急性冠状动脉综合征管理的坚持.
- 需要对更大的队列进行进一步的研究,以确认现实世界的可转移性;临床医生可以为其他指南开发类似的应用程序.
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