职业角色和层次结构塑造了对实验室测试订购电子警报的坚持
Angela Greco1,2,3, Maria Luisa Garo4, Martina Zandonà5
1Quality and patient safety service, Ente Ospedaliero Cantonale, Locarno, 6600, Switzerland. pierangela.greco@eoc.ch.
Scientific reports
|January 30, 2026
概括
子可以提高实验室测试处方的准则遵守,但有效性因角色而异,并且随着时间的推移因警觉疲劳而下降. 优化警报设计是医疗保健中持续行为改变的关键.
科学领域:
- 医疗保健管理的管理
- 行为经济学是一种行为经济学.
- 临床信息学 临床信息学
背景情况:
- 医疗保健系统面临着降低成本和提高质量的压力.
- 遵守指导方针至关重要,但不一致.
- 行为刺激显示出潜力,但其有效性各不相同.
研究的目的:
- 检查nudge对实验室测试处方的影响.
- 根据处方者的人口统计和角色来评估有效性.
- 调查警觉疲劳和处方者的感知.
主要方法:
- 分析了929,808份实验室测试处方 (2021年7月至2024年3月).
- 评估警报遵守情况和适当的处方率.
- 使用描述性统计,时间序列分析和调查.
主要成果:
- 12.4%的处方引发了对违规行为的警报.
- 11.9%的被提醒的订单被取消.
- 合规程度因角色而异,随年龄/经验而增加,但随着时间的推移而下降.
- 护士认为警报比医生更有用.
结论:
- 电子警报提高了指导方针的遵守,但警报疲劳限制了长期的有效性.
- 专业层次结构影响了坚持.
- 优化警报设计 (个性化,上下文感知触发器) 可以提高参与度并维持行为变化.
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