关于CDS失败的专题:与CDS系统试点实施相关的机遇和挑战:定性研究
Nicki Newton1, Adeola Bamgboje-Ayodele2, Rowena Forsyth3
1School of Nursing and Midwifery, The University of Sydney Faculty of Medicine and Health, Sydney, Australia.
Applied clinical informatics
|April 11, 2025
概括
成功的临床决策支持 (CDS) 试点需要组织的准备和用户的参与. 试点必须发生在用户可以提供反和资源可用于解决更好的医疗技术采用关键问题.
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
- 人与计算机在医疗保健中的互动
背景情况:
- 临床决策支持 (CDS) 系统由于与临床医生需求的调整不佳,因此未得到充分利用.
- 试点实施提供了通过让用户参与现实世界的测试来完善CDS系统的途径.
- 关于导致CDS试点实施成功的因素的证据有限.
研究的目的:
- 探索试点CDS系统的机遇和挑战.
- 了解影响CDS试点从实施到全面使用的进展因素.
主要方法:
- 定性研究涉及与临床医生,经理和供应商进行半结构面试.
- 使用了不采用,放弃,可持续性,扩大和扩散 (NASSS) 框架.
- 从澳大利亚农村医院的急救和患者流动部门的采访进行主题分析.
主要成果:
- 关键主题包括系统性能,实施流程,组织支持和感知效益.
- 用户的投入改善了CDS设计,特别是在急诊部,临床医生参与其中.
- 由于资源限制,技术问题和未解决的关键问题阻碍了用户重新参与和临床实用性.
结论:
- 成功的CDS试点需要组织和用户为参与和反做好准备.
- 试点应在具有参与用户和足够资源的环境中进行,以解决新出现的问题.
- 组织能力和用户意愿对于有效的代反和CDS系统改进至关重要.
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