外科医生知情的临床决策支持软件用于手术风险预测和结果跟踪
Margaret M Hornick1, Ankoor Talwar2, Malia Voytik1
1Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
The Journal of surgical research
|November 7, 2025
概括
外科医生需要临床决策支持软件 (CDSS),以使其可解释和有效. 关键的设计原则包括透明的风险模型,用户友好的界面和无的工作流集成,以成功采用.
科学领域:
- 外科信息学外科信息学
- 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
背景情况:
- 有效的临床决策支持软件 (CDSS) 实施取决于与临床环境和工作流程的整合.
- 这项研究旨在为新型CDSS应用程序定义以外科医生为中心的设计原则.
研究的目的:
- 为了前性地定义一个新的CDSS应用程序的外科医生为中心的设计原则.
- 结合切口风险预测与患者结果跟踪.
主要方法:
- 一个由八个专业的30名外科医生组成的三轮在线修改-Delphi小组评估了一个试点CDSS应用程序.
- 风险模型,用户界面和工作流集成的可行性,重要性和可接受性使用利克尔特尺度和定性分析进行了评估.
主要成果:
- 外科医生为风险模型定义了可接受的性能指标 (例如,FN率<10%,FP率<15%,AUC≥0.8).
- 视觉风险描述,透明权重,基于团队的数据输入和可定制的提醒对于可用性和减轻用户负担至关重要.
- 风险模型主要用于高风险患者,以加强沟通;统计素养和工作流集成是采用的关键.
结论:
- 这些发现为开发手术CDSS工具提供了外科医生知情的原则.
- 成功的CDSS必须是可解释的,有效的,并增强临床判断力.
- 解决最终用户对透明度,统计素养和工作流集成的需求对于CDSS采用至关重要.
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