异步或同步的临床决策支持更有可能改变提供者的行为吗? 痴呆症的一个案例研究
Eric Matthew Puster1,2, Randall W Grout1, Paul R Dexter2
1Pediatrics, Eskenazi Health, Indianapolis, IN 46202, United States.
Journal of the American Medical Informatics Association : JAMIA
|November 29, 2025
概括
与同步警报相比,异步临床决策支持 (CDS) 消息显著增加了神经病学订单. 这表明异步方法在门诊转诊方面可能更有效.
科学领域:
- 临床信息学 临床信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床决策支持 (CDS) 系统旨在提高医疗保健质量.
- 同步与异步CDS交付方法的有效性需要进一步研究.
研究的目的:
- 评估同步与异步CDS对临床医生的行为的影响.
- 为了比较不同CDS消息策略对神经学订单的影响.
主要方法:
- 进行了一项单场随机对照试验.
- 混合效应二项逻辑回归分析了三个研究部门的神经学顺序.
- 该研究比较了同步警报与异步消息 (仅警报和提醒问卷).
主要成果:
- 异步消息传递显著增加了患者的神经学评估的订单.
- 神经学订单的赔率比为1.88 (仅提醒) 和1.99 (提醒和问卷).
- 仅同步警报对临床医生的行为影响较小.
结论:
- 非同步的CDS消息,特别是通过收件箱,可以有效地增加临床医生的行动.
- 异步消息传递可能是一个优越的策略,同步消息传递的门诊转诊建议.
相关概念视频
Methods of Documentation VI: Case Management Model
829
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...
829
Ethical Dilemmas II
2.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.2K
Patient-centered Care
2.8K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.8K
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
2.3K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
2.3K
Coronary Artery Disease V: Interprofessional Care
202
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
202
Alzheimer's Disease: Treatment
736
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
736


