VetDash:一个临床仪表板,用于增强退伍军人健康的基于测量的护理
Santiago Allende1, Hayley S Sullivan1, Peter J Bayley1,2
1War Related Illness and Injury Study Center, Palo Alto VA Medical Center, Palo Alto, CA 94304-1290, United States.
JAMIA open
|August 1, 2025
概括
退伍军人仪表板 (VetDash) 增强了基于测量的护理 (MBC),以改善临床决策. 该工具将患者数据集成到退伍军人健康管理局的工作流程中,解决利用障碍.
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
- 退伍军人卫生管理局退伍军人卫生管理局
背景情况:
- 基于测量的护理 (MBC) 对于有效的临床决策至关重要,但在退伍军人卫生管理局 (VA) 面临不足利用.
- 采用MBC的障碍包括有限的供应商意识,时间限制和用户体验问题.
- 战争相关疾病和伤害研究中心 (WRIISC) 试图通过技术创新克服这些障碍.
研究的目的:
- 描述了退伍军人仪表板 (VetDash) 的发展,这是一个患者级临床仪表板.
- 将VA的"收集,共享,行动"模式集成到提供者工作流程中.
- 促进以测量为基础的护理融入常规临床实践.
主要方法:
- VetDash是使用R Shiny开发的,利用来自WRIISC临床摄入包数据库的数据.
- 仪表板整合了患者报告的健康数据和军事历史.
- 它托管在一个基于Linux的闪亮服务器在VA的内部网络.
主要成果:
- VetDash包括四个模块:患者特征,患者健康症状,患者暴露和患者自我报告措施.
- 提供者可以将患者报告的症状,军事暴露和自我报告措施可视化.
- 该系统允许比较个人患者与医疗服务提供者定义的队列.
结论:
- VetDash旨在促进基于测量的护理融入临床工作流程.
- 这种整合有可能提高VA内部个性化的患者护理.
- 未来的研究应该专注于评估VetDash对临床决策和患者结果的影响.
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