医疗保健从业人员参与数据驱动的临床决策支持开发和评估:对推的批判性叙事审查
Ruth P Evans1, Louise D Bryant1, Gregor Russell2
1University of Leeds, Woodhouse Lane, Leeds LS2 9JT, UK.
International journal of medical informatics
|February 22, 2026
概括
在开发可靠的临床决策支持系统 (CDSS) 中,医疗保健从业人员 (HCP) 的参与指导是有限的. 当前的框架往往忽视了临床专业知识,特别是在数据准备和监测阶段.
科学领域:
- 医疗信息学 医疗信息学
- 人工智能在医学中的应用
- 临床决策支持系统 临床决策支持系统
背景情况:
- 医疗保健从业人员 (HCP) 的参与对于可靠的数据驱动临床决策支持系统 (CDSS) 至关重要.
- 现有的关于将医疗保健人员纳入CDSS开发和评估的实践指南是不够的.
- 本次审查解决了了解如何有效地纳入临床专业知识的差距.
研究的目的:
- 批判性地审查现有框架,以开发和评估数据驱动的CDSS.
- 在这些框架内识别和分析与HCP相关的考虑因素.
- 确定需要加强医疗保健人员参与指导的领域.
主要方法:
- 在2024年9月之前,对Ovid Medline,EQUATOR网络图书馆和相关评论进行了系统的搜索.
- 确定了基于数据的CDSS开发或评估的框架.
- 提取和分析了框架特征,生命周期覆盖范围和医疗保健专家的建议.
主要成果:
- 在165个选的出版物中,32个符合纳入标准;9个框架缺乏医疗保健专家建议.
- 其余23个框架包括大多数开发/评估阶段的HCP建议.
- 医疗保健专家最终用户的关键主题包括可接受性,沟通和人-人工智能互动;建议提供专家意见,但不是强制性的.
结论:
- 目前的指导不充分涵盖了将HCP纳入数据驱动的CDSS生命周期的综合方法.
- 报告准则未能将医疗保健人员定位为专家,有可能忽视重要的临床见解.
- 框架需要更多关于风险沟通的细节,并应将医疗保健人员纳入数据准备和市场后监测.
相关概念视频
Methods of Documentation VI: Case Management Model
978
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...
978
Patient-centered Care
3.1K
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...
3.1K
Purpose of Health Records I
1.8K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.8K
Introduction to Documentation and Reporting
3.2K
Documentation is the systematic process of formally recording, maintaining, and communicating information.
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
3.2K
Critical Thinking II
5.1K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
5.1K
Ethical Dilemmas II
2.5K
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:
2.5K


