POINT OF CARE DELIVERY OF RESEARCH EVIDENCE
研究证据的护理点交付
基本信息
- 批准号:6663540
- 负责人:
- 金额:$ 10.93万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2000
- 资助国家:美国
- 起止时间:2000-09-01 至 2005-08-31
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
This is a revision of a grant application originally reviewed in
July of 1999. Studies document that it takes an average of nearly two decades
for research evidence to reach clinical practice. Relying on the passive
diffusion of information to keep health professionals' knowledge up to date is
doomed to failure in a global environment in which about two million medical
research articles are published annually. The purpose of this revised project
is to: (1) develop policies for the automated selection of credible and
substantial evidence, and (2) match patient data with clinical evidence and
(3) directly deliver high-quality evidence to the point of clinical decision
making. The proposed project is a collaboration of researchers from the
University of Missouri, Columbia University, and Duke University. Systematic
reviews to evaluate eligibility criteria, outcomes variables, and overall
quality of published evidence will be conducted. An automated evidence
filtering system will be developed and selected randomized clinical trial
evidence will be abstracted from the literature. The abstractions will contain
eligibility criteria for matching, a recommendation to the clinician, and a
suggested notice to the patient. A decision-support system to automatically
match the literature with patient data will be created. Based on the
abstracted literature evidence, an intelligent web-based agent will search the
patient databases for lapses in care. Reminder recommendations and evidence
behind them will be sent to the appropriate clinician. Reminder standards will
be developed and evaluated with a randomized clinical trial. In addition there
will be a subcontract to Duke University which will focus on developing a
clinical decision support system that uses structures, electronically stored
evidence logic modules (created by the other investigators in this project) to
deliver evidence-based advice to clinicians. This decision support system will
be evaluated in a randomized controlled trial that assesses the impact of the
system on adherence with care standards.
这是对最初在年审查的赠款申请的修订。
1999年7月。 研究表明,平均需要近20年的时间
研究证据用于临床实践。依赖于被动
传播信息,使卫生专业人员的知识保持最新,
注定要失败,在全球环境中,约有200万医疗
研究文章每年发表一次。 本修订项目的目的
(1)制定自动选择可靠和
实质性证据,以及(2)将患者数据与临床证据相匹配,
(3)直接将高质量证据提供给临床决策
制作。拟议的项目是一个合作的研究人员从
密苏里州大学、哥伦比亚大学和杜克大学。系统
审查以评估合格性标准、结局变量和总体
将对发表的证据进行质量检查。一个自动证据
筛选系统将被开发和选择随机临床试验
将从文献中提取证据。抽象将包含
匹配的资格标准、对临床医生的建议,以及
建议通知患者。一个决策支持系统,
将创建与患者数据匹配的文献。基于
抽象的文献证据,一个智能的基于网络的代理将搜索
护理失误的病人数据库。提醒建议和证据
将被发送到适当的临床医生。提醒标准将
通过随机临床试验进行开发和评估。此外,
将是一所以杜克大学为基础的大学,
临床决策支持系统,使用电子存储的结构
证据逻辑模块(由本项目中的其他研究人员创建),
为临床医生提供循证医学建议。该决策支持系统将
在一项随机对照试验中进行评估,
遵守护理标准的制度。
项目成果
期刊论文数量(11)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Convergence on a Standard for Representing Clinical Guidelines: Work in Health Level Seven
代表临床指南的标准的趋同:健康工作第七级
- DOI:
- 发表时间:2004
- 期刊:
- 影响因子:0
- 作者:R. Jenders;Sailors Rm
- 通讯作者:Sailors Rm
Challenges in Using the Arden Syntax for Computer-Based Nosocomial Infection Surveillance
使用 Arden 语法进行基于计算机的医院感染监测的挑战
- DOI:10.1197/jamia.m1237
- 发表时间:2002
- 期刊:
- 影响因子:0
- 作者:R. Jenders;Anuj P. Shah
- 通讯作者:Anuj P. Shah
Computable decision modules for patient safety in child health care.
用于儿童保健中患者安全的可计算决策模块。
- DOI:
- 发表时间:2002
- 期刊:
- 影响因子:0
- 作者:Pakpahan,Ratna;Balas,EAndrew;Boren,SuzanneA
- 通讯作者:Boren,SuzanneA
Design, implementation, use, and preliminary evaluation of SEBASTIAN, a standards-based Web service for clinical decision support.
SEBASTIAN 的设计、实现、使用和初步评估,SEBASTIAN 是一种用于临床决策支持的基于标准的 Web 服务。
- DOI:
- 发表时间:2005
- 期刊:
- 影响因子:0
- 作者:Kawamoto,Kensaku;Lobach,DavidF
- 通讯作者:Lobach,DavidF
Clinical decision support provided within physician order entry systems: a systematic review of features effective for changing clinician behavior.
医嘱输入系统中提供的临床决策支持:对有效改变临床医生行为的功能进行系统审查。
- DOI:
- 发表时间:2003
- 期刊:
- 影响因子:0
- 作者:Kawamoto,Kensaku;Lobach,DavidF
- 通讯作者:Lobach,DavidF
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{{ truncateString('E Andrew Balas', 18)}}的其他基金
SCISIPBIO: Distinguishing practices of outstanding productivity and expansion in biomedical research
SCISIPBIO:生物医学研究中杰出生产力和扩展的杰出实践
- 批准号:
10463905 - 财政年份:2021
- 资助金额:
$ 10.93万 - 项目类别:
SCISIPBIO: Distinguishing practices of outstanding productivity and expansion in biomedical research
SCISIPBIO:生物医学研究中杰出生产力和扩展的杰出实践
- 批准号:
10483204 - 财政年份:2021
- 资助金额:
$ 10.93万 - 项目类别:
SCISIPBIO: Distinguishing practices of outstanding productivity and expansion in biomedical research
SCISIPBIO:生物医学研究中杰出生产力和扩展的杰出实践
- 批准号:
10673725 - 财政年份:2021
- 资助金额:
$ 10.93万 - 项目类别:
Integrated Advanced Information Management Systems
综合先进信息管理系统
- 批准号:
6718232 - 财政年份:2004
- 资助金额:
$ 10.93万 - 项目类别: