临床决策支持的开发和评估,用于初级保健中移民儿童健康查
Jeremy Joseph Michel1,2, Dean Karavite3, Daniel While4,5
1Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, United States.
Applied clinical informatics
|April 28, 2025
概括
新的电子健康记录 (EHR) 工具通过解决临床医生的障碍来支持移民儿童健康查 (ICHS). 这些工具被认为可用于识别符合条件的儿童,促进敏感护理.
科学领域:
- 儿科健康 儿科健康
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
背景情况:
- 现有的基于电子健康记录 (EHR) 的工具主要支持难民健康查.
- 其他移民儿童的查由于时间限制,资格确定困难以及对建议缺乏认识而滞后.
- 基于EHR的工具可以克服这些挑战,但需要关于可用性和家庭接受性的指导.
研究的目的:
- 为移民儿童健康查 (ICHS) 开发用户友好的基于EHR的工具.
- 评估这些新型EHR工具的可接受性,可用性和实施力度.
主要方法:
- 采用了以人为中心的五步设计过程.
- 方法包括用户访谈,卫生专业人员和咨询小组的指导,原型开发,与临床医生进行可用性测试和实施力度评估.
- 一个第二站点的安装评估了现实世界的实施时间.
主要成果:
- 采访发现了在讨论出生国家的过程中存在的障碍和需要EHR支持.
- 开发了一个包含警报,订单和文档提示的EHR工具包.
- 可用性测试显示了临床医生的高满意度,易用性和感知到的帮助性.
- 实施专家估计,平均安装时间为10小时;第二个站点需要7.25小时.
结论:
- 专家指导的EHR工具对于识别有资格接受ICHS的儿童非常有用.
- 开发的工具可以在合理的时间框架内在外部站点实施.
- 这种方法解决了移民儿童健康查中的关键差距.
相关概念视频
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