使用行动,演员,上下文,目标,时间 (AACTT) 框架,定制电子患者报告结果 (ePRO) 症状监测的工作流程
Julia Lai-Kwon1,2, Claudia Rutherford3, Michael Jefford4,5,6,7
1Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia. Julia.Lai-Kwon@petermac.org.
概括
为了成功实施,开发针对特定场所的电子患者报告结果 (ePRO) 症状监测工作流程至关重要. 这项研究使用了AACTT框架来指导共同设计过程,为实时症状跟踪创建了一个实用的工作流.
科学领域:
- 实施科学 实施科学
- 医疗信息学 医疗信息学
- 临床工作流的优化 临床工作流优化
背景情况:
- 实时电子患者报告结果 (ePRO) 症状监测带来了实施挑战.
- 清晰的,特定于场所的工作流程对于成功将ePRO整合到临床实践中至关重要.
- 行动,参与者,上下文,目标,时间 (AACTT) 框架提供了一种结构化的方法来应对这些挑战.
研究的目的:
- 为 ePRO 症状监测开发一个经验和理论为基础的,特定站点的工作流程.
- 利用AACTT实施科学框架指导工作流量定制.
- 支持可扩展的ePRO症状监测的实施.
主要方法:
- 采用了五步共同设计过程来定制通用的ePRO工作流.
- 定性研究和共同设计研讨会吸引了包括患者和临床医生在内的各种利益相关者.
- 使用AACTT框架编码工作坊数据,并代地完善工作流.
主要成果:
- 共有27名参与者,包括患者,护理人员和医疗保健专业人员,为这项研究做出了贡献.
- 创建了临时和最终的特定站点工作流程,详细说明了用于ePRO监控的AACTT组件.
- 该过程成功地概述了ePRO症状监测工作流程的每个步骤的关键要素.
结论:
- AACTT框架有效地指导了针对特定地点的ePRO症状监测工作流程的共同设计.
- 该过程的详细文档使其能够用于ePRO和其他复杂的临床过程.
- 这种方法有助于在医疗机构成功实施复杂的干预措施.
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