从供应商Minder学到的经验教训:一个供应商跟踪应用程序,用于改善状细胞贫血中中风风险查
Alyssa M Schlenz1, Shannon M Phillips, Judson Stevens
1Author Affiliations: Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado (Dr Schlenz); College of Nursing, Medical University of South Carolina, Charleston, South Carolina (Dr Phillips); Medpack Solutions, South Charleston, West Virginia (Mr Stevens); Department of Public Health Sciences, College of Medicine, Medical University of South Carolina, Charleston, South Carolina (Mrs Williams); Department of Pediatrics, Columbia University, New York, New York (Dr Lee); Department of Pediatrics, George Washington School of Medicine & Health Sciences, Washington, District of Columbia (Dr Nickel); Department of Pediatrics, East Carolina University, Greenville, South Carolina (Dr Fuh); Department of Pediatrics, SSM Health Cardinal Glennon Children's Hospital, St. Louis, Missouri (Dr Dolatshahi), and Department of Medicine University of Alabama at Birmingham, Birmingham, Alabama (Dr Kanter).
提供者Minder是一款用于跟踪儿童状细胞贫血中风风险的新型应用程序,显示了适应性和易用性等成功. 发现了实施方面的挑战,但感知到的好处超过了这一重要的选工具的障碍.
科学领域:
- 儿科血液学 儿科血液学
- 医疗信息学 医疗信息学
- 公共卫生干预 公共卫生干预
背景情况:
- 状细胞贫血在儿童中具有显著的中风风险.
- 针对中风风险的有效查在儿科状细胞疾病管理中至关重要.
- 需要有效的工具来监测中风风险查的遵守情况.
研究的目的:
- 描述Provider Minder的开发,这是一款基于网络的应用程序,用于监测患有状细胞贫血的儿童中风风险查.
- 在多个临床场所评估Provider Minder的实施过程.
- 确定从开发和实施这种新型健康信息学工具中吸取的教训.
主要方法:
- 提供商Minder是使用代过程开发的.
- 一个过程评估涉及调查和采访与13个研究站点超过2年.
- 来自提供商和协调员的数据被主题分析,以评估实施因素.
主要成果:
- 关键的成功因素包括利益相关者协调,高适应性,易用性,低成本和有效捕捉错过的查.
- 实施的挑战包括时间负担,数据冗余和缺乏电子医疗记录集成.
- 用户报告说,他们认为查遵守监测取得了成功.
结论:
- 尽管存在实施障碍,但提供者思维的感知成功超过了挑战.
- 未来的应用需要减少医疗保健复杂性的负担,并改善电子健康记录的互操作性,以提高成功率.
- 提供者Minder证明了改善儿童状细胞贫血中风险查的潜力,未来的代将受益于系统集成.
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