实施临床决策支持,用于对身体残疾人进行初级保健预防性查
Tyler G James1, Suhas Kellampalli1,2, Beatrice Palazzolo1
1Department of Family Medicine, University of Michigan, Ann Arbor, United States.
初级保健提供者很少使用旨在改善身体残疾人预防性查的临床决策支持 (CDS) 工具. 需要进行改进,以减少认知负担并改善工作流集成,以便更好地采用.
科学领域:
- 健康差异研究 研究健康差异研究
- 初级保健领域的创新.
- 临床信息学是一种临床信息学.
背景情况:
- 身体残疾的人面临着严重的健康差异,并面临可预防的多病症的风险.
- 初级保健机构为改善这一群体的健康状况提供了机会.
研究的目的:
- 评估实施临床决策支持 (CDS) 工具的实施,旨在加强初级保健中身体残疾人预防性查.
- 评估提供者的使用情况,并确定CDS工具采用的障碍和促进者.
主要方法:
- 一个融合混合方法试点研究,整合了定量和定性数据.
- 在家庭医疗诊所的电子健康记录中实施CDS工具.
- 数据收集包括供应商使用日志和半结构化访谈/小组会议.
主要成果:
- 在1668次遭遇中,CDS工具被触发,但仅在10%的案例中使用.
- 在40%的CDS工具使用案例中,有预防性选订单.
- 确定的主要主题包括不充分的激励,认知负担,竞争优先级和提供商接受警报.
结论:
- 初级保健提供者表现出接受性,但很少使用CDS工具.
- 改进的机会包括降低认知负载,澄清订单理由,并将该工具更无地集成到临床工作流程中.
更多相关视频
08:36The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living
Published on: July 28, 2022
06:28Author Spotlight: Developing Low-Tech Balance Assessment Methods for Broad-Spectrum Healthcare Applications
Published on: September 1, 2023
相关概念视频
Preventive Healthcare Services
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Data Collection III
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
Nursing Diagnosis
The nursing diagnosis focuses on evidence-based...
