Point-of-Care Decision Support for Nursing

护理点护理决策支持

• 批准号: 6793411
• 负责人: Richard S Moberg
• 金额: $ 45.09万
• 依托单位: MOBERG RESEARCH, INC.
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-01 至 2006-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6793411
• 关键词: automated health care system; clinical research; computer assisted medical decision making; computer assisted patient care; computer system design /evaluation; critical care nursing; data management; health care facility information system; health care policy; human subject; intensive care; nurses; nursing care; nursing research; patient care management; patient monitoring device; technology /technique development

DESCRIPTION (provided by applicant): Our overall objective is to increase the effectiveness of nursing by providing, at the bedside (the "point-of-care"), up-to-date information used in patient management. Examples of this information are hospital policies, protocols, equipment instructions, guidelines, reference material, etc. Currently this material is in a variety of formats (CD-ROMs, on-line, printouts in binders on a shelf, textbooks, etc.) and is usually scattered in several locations. The difficulty in accessing the information in a timely manner causes it not to be used leading to errors in patient care. This project proposes a new paradigm for the transfer of information from "providers" (publishers, manufacturers, drug companies, regulatory agencies, hospital administration, etc.) to "users" (the nurses at the bedside). A key component of the system is the creation of an open standard for bedside information interchange which "uncouples" the provider from their own display format. The benefits of the standard are: (1) rapid distribution of information directly to the bedside, (2) a single display and user interface for all bedside information (not a collection of videos, CDs, texts, pocket cards, etc.), and (3) a collaboration model in which techniques developed at one hospital (e.g. a treatment plan) could be easily imported by another hospital and rapidly deployed at the bedsides. We have created the concept of an InfoMap TM which parallels the care path and filters out the information necessary for decision support for a particular step in the patient's care. If successful, commercial products include a series of software applications to display the information at the bedside as well as authoring/editing/verification tools for managing the information. A significant business opportunity will be created in providing "bedside ready" content. Though aggressive in scope, this project parallels efforts ongoing in other industries to address the "information overload" problem. The Phase II work will build on the Phase I work to fully implement and evaluate a system initially targeted to the neuroscience intensive care unit.

描述（由申请人提供）：我们的总体目标是通过在床边（“护理点”）提供用于患者管理的最新信息来提高护理效率。这些信息的例子有医院政策、协议、设备说明、指南、参考资料等。目前，这些资料有多种格式（CD-ROM、在线、书架上的活页夹、教科书等）。并且通常分散在几个位置。及时获取信息的困难导致其无法使用，从而导致患者护理中的错误。 该项目提出了一种新的范式，用于从“提供者”（出版商、制造商、制药公司、监管机构、医院管理部门等）转移信息。“用户”（床边的护士）。该系统的一个关键组成部分是创建一个开放的床边信息交换标准，该标准将提供者与他们自己的显示格式“脱钩”。该标准的好处是：（1）信息直接快速分发到床边，（2）所有床边信息的单一显示器和用户界面（而不是视频、CD、文本、口袋卡等的集合），以及（3）协作模式，在该模式下，一家医院开发的技术（例如治疗计划）可以很容易地被另一家医院引入，并迅速部署在床边。我们创建了InfoMap TM的概念，它与护理路径平行，并过滤出患者护理中特定步骤的决策支持所需的信息。 如果成功，商业产品包括一系列软件应用程序，以显示在床边的信息，以及创作/编辑/验证工具，用于管理信息。一个重要的商业机会将创造在提供“床边准备”的内容。 虽然这个项目的范围很大，但它与其他行业正在进行的解决“信息过载”问题的努力是并行的。第二阶段的工作将建立在第一阶段的工作，以全面实施和评估系统最初针对神经科学重症监护病房。