Sim I, Owens D K, Lavori P W, Rennels G D
VA Health Care System, Palo Alto, California, USA.
Med Decis Making. 2000 Oct-Dec;20(4):440-50. doi: 10.1177/0272989X0002000408.
Randomized clinical trial (RCT) results are often difficult to find, interpret, or apply to clinical care. The authors propose that RCTs be reported into electronic knowledge bases-trial banks-in addition to being reported in text. What information should these trial-bank reports contain?
Using the competency decomposition method, the authors specified the ideal trial-bank contents as the information necessary and sufficient for completing the task of systematic reviewing.
They decomposed the systematic reviewing task into four top-level tasks and 62 subtasks. 162 types of trial information were necessary and sufficient for completing these subtasks. These items relate to a trial's design, execution, administration, and results.
Trial-bank publishing of these 162 items would capture into computer-understandable form all the trial information needed for critically appraising and synthesizing trial results. Decision-support systems that access shared, up-to-date trial banks could help clinicians manage, synthesize, and apply RCT evidence more effectively.
随机临床试验（RCT）的结果往往难以查找、解读或应用于临床护理。作者提议，除了以文本形式报告RCT外，还应将其报告到电子知识库——试验库中。这些试验库报告应包含哪些信息？
作者采用能力分解法，将理想的试验库内容指定为完成系统评价任务所需且足够的信息。
他们将系统评价任务分解为四个顶级任务和62个子任务。162种试验信息对于完成这些子任务是必要且足够的。这些项目与试验的设计、实施、管理和结果相关。
以试验库形式发布这162个项目，将把批判性评价和综合试验结果所需的所有试验信息转化为计算机可理解的形式。访问共享、最新试验库的决策支持系统可以帮助临床医生更有效地管理、综合和应用RCT证据。
