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开发和利用一种新的基于电子健康记录的护理途径,用于非肌肉侵入性膀癌的治疗
Shayan Smani1, Soum D Lokeshwar1, Michael Jalfon1
1Department of Urology, Yale School of Medicine, New Haven, Connecticut.
Urology practice
|July 10, 2025
概括
一个电子健康记录 (EHR) 集成的干预措施被开发出来,以改善对非肌肉侵入性膀癌 (NMIBC) 准则的遵守. 该途径得到了大量采用,这表明了标准化NMIBC护理的潜力.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗信息学 医疗信息学
- 临床实践指南 临床实践指南
背景情况:
- 遵守非肌肉侵入性膀癌 (NMIBC) 管理的临床实践指南是不理想的.
- 需要进行干预措施,以改善NMIBC护理中的准则遵守.
研究的目的:
- 开发和实施电子健康记录 (EHR) 整合干预措施,以加强对NMIBC临床指南的遵守.
- 在EHR系统中创建NMIBC管理的结构化途径.
主要方法:
- 使用Epic EHR系统设计了一个EHR集成的干预,该系统基于美国泌尿病学协会 (AUA) 的NMIBC途径.
- 开发了四种不同的途径:评估和分期,低风险和中等风险,高风险和非常高风险,持续性或复发性疾病.
- 为了鼓励采用,采用了包括新闻通讯,现场考察和CME认可会议在内的沟通策略.
主要成果:
- 这项被称为"护理途径"的干预措施在2021年10月至2024年5月期间被使用了412次,涉及253名患者.
- 跨越各种专业的68名医生,主要是泌尿科医生,采用了该途径.
- 最常使用的途径是"初始分期和低风险和中等风险的治疗" (36.4%).
结论:
- 综合EHR的干预表明,具有不同专业知识的提供者采用了它,表明其潜在的实用性.
- 这种干预措施可以改善标准化的护理服务,并减少NMIBC管理中的实践变化.
- 需要进一步的研究来评估这种途径对临床结果的长期影响.
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