一个混合方法案例研究,评估癌症症状管理的临床决策支持
Jennifer L Ridgeway1, Deirdre R Pachman2, Lila J Finney Rutten3
1Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Division of Health Care Delivery Research, Mayo Clinic, Minnesota, United States.
Applied clinical informatics
|August 22, 2025
概括
临床人员在电子健康记录 (EHR) 中采用电子患者报告结果测量 (ePROM) 和临床决策支持 (CDS) 工具的数量很低. 整合挑战和被认为是多余的协作护理减少了工具的使用.
科学领域:
- 癌症学
- 医疗信息学
- 实施科学
背景情况:
- 电子患者报告结果测量 (ePROM) 有望改善癌症治疗.
- 有效地将ePROM纳入临床工作流程对于实现其好处至关重要.
- 电子健康记录中的临床决策支持 (CDS) 工具可以帮助管理ePROM数据.
研究的目的:
- 评估临床医生在癌症治疗中采用和使用专门设计用于ePROM数据的CDS工具.
- 确定CDS工具在常规临床实践中整合的障碍和促进因素.
- 了解临床医生对协作护理模式中的CDS工具实用性的看法.
主要方法:
- 在实用临床试验环境中采用案例研究方法.
- 数据来源包括CDS工具交互的EHR指标,临床医生笔记,定性访谈和行政记录.
- 该研究重点是通过ePROM得分来管理六种常见的癌症症状的CDS工具.
主要成果:
- 电子健康数据显示CDS工具的采用率非常低,包括警报和订单集.
- 定性发现显示,将CDS工具整合到繁忙的临床工作流程中存在挑战.
- 临床医生认为协作护理减少了他们对CDS工具的需求,受机构因素的影响.
结论:
- 基于EHR的CDS工具对ePROM数据的有限采用凸显了实施的挑战.
- 改善采用策略包括调整临床医生/组织目标,简化工具和解决上下文因素.
- 在多组件干预中,反复改进CDS和实施策略至关重要.
相关概念视频
Cancer Survival Analysis
453
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
453
Methods of Documentation VI: Case Management Model
628
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
628
Combination Therapies and Personalized Medicine
5.1K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.1K
Nursing Clinical Information System
864
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
864
Adaptive Mechanisms in Cancer Cells
5.9K
Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
5.9K


