临床信息学案例研究。ARDS患者呼吸机管理的计算机化方案。案例研究。

Computers in nursing Pub Date : 1999-11-01
L K Heermann, C B Thompson, T D East
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引用次数: 0

摘要

机械通气管理的计算机化方案的实施应被认为是成功的。在11个地点中,只有4个遇到了重大困难。一个站点可能被认为是实现失败。在这个站点,加载到现有计算机化患者文件系统上的协议软件最初运行不顺利,严重影响了临床站点的信任。在其他三个地点,由于研究的时间要求,而不是没有接受决策支持系统,系统的使用很少。Whitten和Bentley等作者提出的实施方法被发现是成功的。特别使用的方法包括获得关键人员的支持,在项目早期与信息系统人员联系和合作,为临床和支助人员提供充分的培训和参考材料,并为一些用户提供额外培训,从而创建“超级用户”角色。最后,评估决策支持系统的临床试验成功的因素与成功使用该系统的因素略有不同。研究功能所需的时间,如患者筛选和招募,必须在一开始就考虑并相应地计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical informatics case study. Computerized protocols for ventilator management in ARDS patients. Case study.

The implementation of the computerized protocol for mechanical ventilation management should be considered successful. Of the 11 sites, only 4 encountered major difficulties. One site could be considered an implementation failure. At this site the protocol software, which was loaded onto the existing computerized patient documentation system, did not initially function smoothly and it severely affected the trust at the clinical site. At the other three sites system usage was minimal due to time requirements of the study rather than a failure to accept the decision support system. Implementation methods suggested by authors such as Whitten and Bentley were found to be successful. Methods of particular use included obtaining buy-in of key personnel, contacting and working with IS personnel early in the project, providing adequate training and reference materials for clinical and support personnel, and providing extra training for some users, thereby creating a "super-user" role. Finally, factors for success of a clinical trial to evaluate a decision support system are slightly different from those for successful use of the system. Time necessary for research functions such as patient screening and recruitment must be considered at the outset and planned for accordingly.

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