Advances in Clinical Decision Support: Highlights of Practice and the Literature 2015-2016.
Advances in Clinical Decision Support: Highlights of Practice and the Literature 2015-2016.
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DOI：
10.15265/iy-2017-012
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发表时间：
2017-08-01
影响因子：
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通讯作者：
Jenders, R A
中科院分区：
文献类型：
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作者：
Jenders, R A
前言：临床决策支持(CDS)的进展不断发展，以支持临床医生、政策制定者、患者和专业组织改善临床实践、患者安全和护理质量的目标。目标：确定2015-2016年期间涉及临床决策支持的研究和实践中的关键主题领域或重点。方法：采用与扎根理论方法一致的主题分析方法，对期刊出版物、主要科学会议记录以及标准制定组织的活动进行有针对性的审查，以确定与CDS相关的工作的关键主题。结果：确定了10个关键主题领域，包括：1)强调知识表示，重点是临床实践指南；2)精确医学的各个方面，包括传感器和基因组数据以及大数据的使用；3)质量改进方面的努力；4)基于计算机的供应商订单录入(CPOE)系统的创新使用，包括相关数据显示；5)CDS在各种临床环境中的扩展；6)以患者为导向的CDS；7)了解CDS的潜在负面影响；8)获得结构化数据以推动CDS干预；9)诊断决策支持的使用；10)CDS标准的制定和使用。结论：2015-2016年的积极研究和实践继续强调了CDS在改变和提高临床护理质量和结果方面的重要性和广泛用途。
Introduction: Advances in clinical decision support (CDS) continue to evolve to support the goals of clinicians, policymakers, patients and professional organizations to improve clinical practice, patient safety, and the quality of care. Objectives: Identify key thematic areas or foci in research and practice involving clinical decision support during the 2015-2016 time period. Methods: Thematic analysis consistent with a grounded theory approach was applied in a targeted review of journal publications, the proceedings of key scientific conferences as well as activities in standards development organizations in order to identify the key themes underlying work related to CDS. Results: Ten key thematic areas were identified, including: 1) an emphasis on knowledge representation, with a focus on clinical practice guidelines; 2) various aspects of precision medicine, including the use of sensor and genomic data as well as big data; 3) efforts in quality improvement; 4) innovative uses of computer-based provider order entry (CPOE) systems, including relevant data displays; 5) expansion of CDS in various clinical settings; 6) patient-directed CDS; 7) understanding the potential negative impact of CDS; 8) obtaining structured data to drive CDS interventions; 9) the use of diagnostic decision support; and 10) the development and use of standards for CDS. Conclusions: Active research and practice in 2015-2016 continue to underscore the importance and broad utility of CDS for effecting change and improving the quality and outcome of clinical care.