Large-scale clinical implementation of PROMIS computer adaptive testing with direct incorporation into the electronic medical record
Large-scale clinical implementation of PROMIS computer adaptive testing with direct incorporation into the electronic medical record
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DOI：
10.1057/s41306-016-0016-1
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发表时间：
2018-01-01
期刊：
影响因子：
1.8
通讯作者：
Baumhauer, J. F.
中科院分区：
文献类型：
--
作者：
Papuga, M. O.;Dasilva, C.;Baumhauer, J. F.
这项研究的目的是评估在一家大型学术医院的门诊中收集患者报告的结果数据的实施情况，并确定实现这一目标的潜在障碍和解决方案。三种PROMIS计算机适应性测试工具，(1)身体功能，(2)疼痛干扰，(3)抑郁，使用平板电脑上的一个新的软件平台，在23,813次患者会面中进行了测试。平均完成时间为3.50±3.12分钟，中位数为2.60分钟。新患者的登记时间没有显著变化，6.87±3.34分钟为7.19±2.69分钟。随访登记时间(p=.007)从2.94+/-1.57(p<；0.01)分钟增加到3.32+/-1.78分钟。这是一种有效的实施战略，可收集患者报告的结果，并将结果实时直接导入电子病历，供临床访问期间使用。
The objective of this research was to assess the implementation of collecting patient-reported outcomes data in the outpatient clinics of a large academic hospital and identify potential barriers and solutions to such an implementation. Three PROMIS computer adaptive test instruments, (1) physical function, (2) pain interference, and (3) depression, were administered at 23,813 patient encounters using a novel software platform on tablet computers. The average time to complete was 3.50 +/- 3.12 min, with a median time of 2.60 min. Registration times for new patients did not change significantly, 6.87 +/- 3.34 to 7.19 +/- 2.69 min. Registration times increased for follow-up (p = .007) from 2.94 +/- 1.57 (p < .01) min to 3.32 +/- 1.78 min. This is an effective implementation strategy to collect patient-reported outcomes and directly import the results into the electronic medical record in real time for use during the clinical visit.