通过电子健康记录 (INSERT-HCM研究设计) 在临床实践中实施心脏突然死亡风险预测工具
Tanya Papaz1,2, Emily Seto3,4,5, Samantha J Anthony6,7,8
1Genetics and Genome Biology, Research Institute, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, Ontario, Canada.
CJC open
|January 28, 2025
概括
通过将PRIMaCY工具应用于电子健康记录 (EHRs) 中,提高了患有多变性心肌病 (HCM) 的儿童突然心脏病死亡风险的预测. 本研究评估了更好的指导方针导向护理的实施策略.
科学领域:
- 心脏病学 心脏病学
- 实施科学 实施科学
- 数字健康数字健康
背景情况:
- 突发心脏病死亡 (SCD) 是患有多变性心肌病 (HCM) 的儿童的重大风险.
- 临床实践指南推风险预测工具,用于关于植入式心脏转换器-除器的共同决策.
- 心脏病治疗中的预知医学 (PRIMaCY) 联盟开发了一种经过验证的SCD风险预测工具.
研究的目的:
- 将PRIMaCY风险预测工具应用于加拿大儿科医院的电子健康记录 (EHR).
- 评估实施这种数字健康解决方案的决定因素和结果.
- 为将基于证据的工具整合到临床工作流程中提供最佳实践信息.
主要方法:
- 一个前性的,多中心的,混合型-3混合方法实施研究 (INSERT-HCM).
- 利用积极实施框架进行分阶段的实施过程.
- 采用实施结果分类学和实施研究综合框架来评估结果和决定因素.
主要成果:
- 该研究侧重于实施过程,包括针对不同医疗保健机构的技术安装和优化.
- 使用后端EHR数据评估工具的采用,透和忠实度.
- 评估临床实践中的实施促进者,障碍和可持续性.
结论:
- 将PRIMaCY工具成功实施到电子健康记录中,可以改善儿童HCM患者的指导方针导向护理.
- 这项研究将建立最佳实践,在医院EHR中实施数字健康解决方案.
- 结果将指导未来传播类似的基于证据的数字健康工具.
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