一个EHR订单对癌症查的影响 社区卫生中心的订单率
Rachel Gold1,2,3, Constance Owens-Jasey1,2, Jean O'Malley1,2
1Research Department, OCHIN Inc., Portland, Oregon, United States.
Applied clinical informatics
|June 4, 2025
概括
电子健康记录 (EHR) 工具,如护理差距智能化 (CGS) 可以增加结肠直肠癌查订单. 有效的实施需要领导层的支持和优化的工作流程,尽管存在诸如低用户信任等障碍.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 在瘤学瘤学.
背景情况:
- 电子健康记录 (EHR) 提供了提高癌症查率的潜力.
- 集成到EHR中的临床决策支持 (CDS) 工具可以简化订单流程.
- 社区卫生中心在持续提供指定的癌症查方面面临挑战.
研究的目的:
- 评估使用护理差距智能化 (CGS) 和结直肠/宫癌 (CRC/CVC) 查订单率之间的关联.
- 确定影响CGS采用和有效性的实施策略,障碍和促进者.
主要方法:
- 一个连续的混合方法设计,将定量分析和定性数据收集相结合.
- 多变量回归分析,以评估CGS使用和选订单率之间的关系.
- 与诊所工作人员进行调查和半结构面试,以探索实施因素.
主要成果:
- 使用CGS的诊所和提供者与非使用者相比,显示CRC查订单率更高.
- 增加的CGS使用与改善的CRC查订单率相关,高使用诊所增加4.4%.
- 使用CGS与宫癌 (CVC) 查订单率没有显著的关联.
- 定性数据强调领导力支持,清晰的工作流程和定制培训作为促进者,而低意识和工具优化是障碍.
结论:
- 护理差距智能化 (CGS) 可以有效支持癌症查订单的提供,特别是结肠直肠癌.
- 成功采用CGS取决于强有力的领导,优化的工作流程和有效的多样化的培训方法.
- 解决用户信任和工具功能等障碍对于最大限度地提高基于EHR的决策支持工具的影响至关重要.
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