在急诊室的肺炎临床决策支持系统的以用户为中心的重新设计
Matthew A Christensen1, Russ Beebe2,3, Anne Chen4
1Department of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Murray, Utah, United States.
Applied clinical informatics
|February 27, 2026
概括
对电子肺炎 (ePneumonia) 临床决策支持的用户界面进行重新设计,提高了急诊室临床医生的可用性. 新功能提高了在快节奏的环境中遵守指南和照顾病人.
科学领域:
- 医疗信息学 医疗信息学
- 人与计算机的交互
- 紧急医疗 紧急医疗
背景情况:
- 在急诊室 (ED) 中,偏离基于证据的指导方针是常见的,并且与较差的患者结果有关.
- 临床决策支持 (CDS) 系统可以改善指导方针的遵守和患者的结果.
- 之前在ED中实施的ePneumonia CDS显示出了好处,但由于用户界面 (UI) 低于最佳,因此面临采用挑战.
研究的目的:
- 重新设计ePneumonia CDS用户界面,以提高可用性和临床医生采用.
- 根据临床医生的反,识别用户需求并代地改进UI原型.
- 改进CDS与动态ED工作流程的调整.
主要方法:
- 一项以用户为中心的设计研究,涉及范德比尔特大学医学中心的19名ED临床医生.
- 通过视频会议进行两轮一对一的可用性访谈,观察临床医生与现实肺炎病例的互动.
- 快速主题反分析,以代更新UI原型,重点关注灵活性和约束.
主要成果:
- 最初的逐步用户界面与ED工作流程不匹配.
- 临床医生希望灵活性 (例如,跳过部分) 和限制 (例如,警报).
- 一个重新设计的用户界面,三步导航,分层信息和多式联运指标改善了感知的可用性.
结论:
- 以用户为中心的设计成功地确定了UI功能,使CDS在ED中更易于使用.
- 重新设计的用户界面解决了ED工作流中的灵活性和约束需求.
- 未来的临床试验将评估改进的ePneumonia CDS的现实世界可用性和采用性.
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