ABiMed:一个智能和可视化的临床决策支持系统,用于药物审查和多药房管理。

IF 3.3 3区 医学 Q2 MEDICAL INFORMATICS
Mouazer Abdelmalek, Léguillon Romain, Boudegzdame Nada, Levrard Thibaud, Le Bars Yoann, Simon Christian, Séroussi Brigitte, Grosjean Julien, Lelong Romain, Letord Catherine, Darmoni Stéfan, Schuers Matthieu, Belmin Joël, Sedki Karima, Dubois Sophie, Falcoff Hector, Tsopra Rosy, Lamy Jean-Baptiste
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引用次数: 0

摘要

背景:综合用药既是一个公共卫生问题,也是一个经济问题。药物审查是药剂师对患者的结构化访谈,旨在优化药物治疗和减少可能不适当的药物。然而,它们仍然难以执行且耗时。几个临床决策支持系统的开发,以帮助临床医生减少不适当的多药。然而,大多数仅限于临床实践指南的实施。在这项工作中,我们的目标是设计一个创新的临床决策支持系统,用于药物审查和多药房管理,命名为ABiMed。方法:ABiMed结合了几种方法:指南的实施,以及从全科医生的电子健康记录中自动提取患者数据并将其传输给药剂师,以及使用可视化分析将情境化药物知识可视化呈现。我们在焦点小组和研讨会期间对药剂师和全科医生进行了人体工程学评估和定性评估。结果:我们描述了提议的架构,它允许协作的多用户使用。我们介绍了ABiMed的各种屏幕,用于输入或验证患者数据,访问药物知识(病理学,不良反应,相互作用),查看STOPP/START规则以及建议修改治疗。定性评价表明,卫生专业人员对我们的方法非常感兴趣,将自动指南的执行与药物知识的视觉呈现联系起来。结论:将指南的实施与知识的可视化呈现相结合是一种很有前途的管理多药的方法。今后的工作将集中在ABiMed的改进和评价上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ABiMed: An intelligent and visual clinical decision support system for medication reviews and polypharmacy management.

Background: Polypharmacy can be both a public health and an economic issue. Medication reviews are structured interviews of the patient by the pharmacist, aiming at optimizing the drug treatment and deprescribing potentially inappropriate medications. However, they remain difficult to perform and time-consuming. Several clinical decision support systems were developed for helping clinicians to reduce inappropriate polypharmacy. However, most were limited to the implementation of clinical practice guidelines. In this work, our objective is to design an innovative clinical decision support system for medication reviews and polypharmacy management, named ABiMed.

Methods: ABiMed associates several approaches: guidelines implementation, but also the automatic extraction of patient data from the GP's electronic health record and its transfer to the pharmacist, and the visual presentation of contextualized drug knowledge using visual analytics. We performed an ergonomic assessment and qualitative evaluations involving pharmacists and GPs during focus groups and workshops.

Results: We describe the proposed architecture, which allows a collaborative multi-user usage. We present the various screens of ABiMed for entering or verifying patient data, for accessing drug knowledge (posology, adverse effects, interactions), for viewing STOPP/START rules and for suggesting modification to the treatment. Qualitative evaluations showed that health professionals were highly interested in our approach, associating the automatic guidelines execution with the visual presentation of drug knowledge.

Conclusions: The association of guidelines implementation with visual presentation of knowledge is a promising approach for managing polypharmacy. Future works will focus on the improvement and the evaluation of ABiMed.

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来源期刊
CiteScore
7.20
自引率
5.70%
发文量
297
审稿时长
1 months
期刊介绍: BMC Medical Informatics and Decision Making is an open access journal publishing original peer-reviewed research articles in relation to the design, development, implementation, use, and evaluation of health information technologies and decision-making for human health.
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