Snyder-Halpern R
College of Nursing, University of Utah, Salt Lake City 84112-5880, USA.
Outcomes Manag Nurs Pract. 1999 Jul-Sep;3(3):118-27.
Increasing interest in linking high-quality and cost-effective clinical practice processes to patient outcomes has enhanced interest in computerizing clinical practice guidelines to support clinician decision making. This article describes a Clinical Information Technology Innovation Model (CITIM) that was used to assess health care setting readiness for a clinical decision support system (CDSS) to decrease innovation risk and enhance the potential for innovation success. A case illustration shows CITIM application in the assessment of a hospital's readiness for a computerized knowledge-based system to support RN acute pain management decision making with patients who had coronary artery bypass graft surgery.
将高质量且具成本效益的临床实践流程与患者治疗结果相联系的兴趣日增，这激发了人们对将临床实践指南计算机化以支持临床医生决策的兴趣。本文描述了一种临床信息技术创新模型（CITIM），该模型用于评估医疗保健机构对临床决策支持系统（CDSS）的准备情况，以降低创新风险并提高创新成功的可能性。一个案例说明了CITIM在评估医院对基于计算机知识系统的准备情况中的应用，该系统用于支持对接受冠状动脉搭桥手术患者的急性疼痛管理决策，由注册护士执行。
