Health IT and clinical decision support systems: human factors and successful adoption.
Health IT and clinical decision support systems: human factors and successful adoption.
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健康 IT 和临床决策支持系统：人为因素和成功采用。
DOI：
10.1136/amiajnl-2014-003279
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
L. Ohno
中科院分区：
文献类型：
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作者：
L. Ohno
JAMIA的这个特别在线问题关注健康IT（HIT）和临床决策支持系统（CDSS）。首先，由Bates等人领导的FDA委托工作组（见e181页）介绍了HIT的监管框架，该框架旨在简单、有效和不重复。一个重要的未决问题是有关的成本和效益之间的权衡在HIT和CDSS的实施。Slight等人（见e226页）研究了英国实施电子健康记录（EHR）系统的相关成本。由于采用率的变化和证明明确获益的文章数量相对较少，计算获益更加困难，不考虑潜在的出版偏倚。一些作者还担心，临床医生对CDSS警报和提醒的采用可能会因患者人群的种族差异而异。这种差异可能会加剧医疗保健的差距，但米舒里斯和林德...
This special online issue of JAMIA focuses on Health IT (HIT) and Clinical Decision Support Systems (CDSS). It starts with a presentation from an FDA commissioned working group led by Bates et al ( see page e181 ) on a regulatory framework for HIT intended to be simple, effective, and non-duplicative. A significant open question is related to the tradeoff between costs and benefits in HIT and CDSS implementation. Slight et al ( see page e226 ) examine the costs associated with electronic health record (EHR) system implementation in the UK. Calculation of benefits is more difficult because of the variable adoption rates and the relatively small number of articles proving definitive benefits, not to count potential publication biases. Some authors also worried that clinician adoption of CDSS alerts and reminders might vary according to racial differences in the patient population. This variance could exacerbate disparities in health care, but Mishuris and Linder …