用户为中心的设计和实施科学的务实整合:在EHR中实施临床决策支持的新方法论方法
Anna M Maw1,2, Jason A Hoppe3, Nicole M Wagner2,4
1Division of Hospital Medicine, University of Colorado Anschutz, Aurora, Colorado, United States.
Applied clinical informatics
|October 7, 2025
概括
整合以用户为中心的设计 (UCD) 和实施科学 (IS) 方法,实用地优化临床决策支持 (CDS) 工具. 这种方法提高了资源有限的卫生系统的采用和可持续性.
科学领域:
- 医疗信息学 医疗信息学
- 实施科学 实施科学
- 人与计算机的交互
背景情况:
- 临床决策支持 (CDS) 工具改善了护理,但如果设计不佳,可能会导致倦怠.
- 以用户为中心的设计 (UCD) 和实现科学 (IS) 方法增强了CDS,但在资源有限的环境中未得到充分利用.
- 需要指导在运营约束范围内应用UCD和IS.
研究的目的:
- 展示UCD-IS集成方法的务实应用,以优化CDS工具.
- 适应UCD-IS方法,以满足现实世界卫生系统的操作限制.
- 为在资源有限的环境中设计和评估CDS提供实际指导.
主要方法:
- 采用了一种集成的UCD-IS方法,以实用稳健实施和可持续性模型 (PRISM) 为指导.
- 使用的代阶段:合作伙伴参与,设计,原型,部署和评估.
- 在两个CDS项目中采用了采访,焦点小组,调查和可用性测试等方法.
主要成果:
- 多层次的合作伙伴参与为心力衰竭和纳洛CDS工具提供了明智的设计调整.
- 该方法平衡了严谨与实用主义,使得及时实施和评估成为可能.
- 目前正在进行代评估,以改进CDS以获得更好的结果.
结论:
- 综合的UCD-IS方法可以灵活适应在资源有限的卫生系统中进行CDS设计和评估.
- 这种方法满足合作伙伴的需求,确保上下文相关性,并支持持续的采用.
- 卫生系统可以利用这些指南来优化CDS工具并减轻临床医生的倦怠.
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