设计一种临床决策支持工具,以促进心力衰竭的及时息治疗
medRxiv : the preprint server for health sciences
|February 6, 2026
概括
为心力衰竭患者开发临床决策支持 (CDS) 工具可以改善息护理的准入. 该工具整合了临床数据和工作流程需求,以克服转诊障碍并提高患者的生活质量.
科学领域:
- 心脏病学 心脏病学
- 抚慰性护理是一种缓解性护理.
- 医疗信息学 医疗信息学
背景情况:
- 息治疗改善生活质量,并减少心力衰竭患者的医疗保健利用率.
- 在心力衰竭中寻求息治疗的转诊往往是不一致和延迟的.
- 现有的临床决策支持 (CDS) 工具并没有专门解决心力衰竭的息护理需求.
研究的目的:
- 确定临床医生的需求和CDS工具的设计要求,以促进心力衰竭患者的及时息护理.
- 应用以用户为中心的技术实施框架 (UFIT) 来指导CDS工具的开发.
- 为了解决阻碍心力衰竭及时转诊息护理的障碍.
主要方法:
- 使用焦点小组和采访与转诊和息护理临床医生进行的定性描述性研究 (n=25).
- 应用以用户为中心的技术实施框架 (UFIT).
- 快速进行定性和内容分析,以确定需求,上下文因素和设计要求.
主要成果:
- 临床医生确定了工作流程的痛点,早期转诊的目标,以及时间不确定性等障碍.
- 关键的信息需求包括预后和临床数据.
- 临床医生希望CDS工具具有客观标记,量身定制的建议,工作流集成和清晰的设计,避免破坏性警报.
结论:
- 临床医生的确定的需求和要求对于设计和实施心力衰竭的息护理CDS工具至关重要.
- 开发的CDS工具旨在促进及时,符合指南的息护理.
- 成功实施CDS取决于与临床工作流程的协调,以确保可用性和采用性.
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