临床决策支持系统部署建议：信息系统医学主任圆桌会议纪要
Recommendations for clinical decision support deployment: synthesis of a roundtable of medical directors of information systems.
作者信息
Jenders Robert A, Osheroff Jerome A, Sittig Dean F, Pifer Eric A, Teich Jonathan M
机构信息
Cedars-Sinai Medical Center, University of California, Los Angeles, USA.
出版信息
AMIA Annu Symp Proc. 2007 Oct 11;2007:359-63.
BACKGROUND
Ample evidence exists that clinical decision support (CDS) can improve clinician performance. Nevertheless, additional evidence demonstrates that clinicians still do not perform adequately in many instances. This suggests an ongoing need for implementation of CDS, in turn prompting development of a roadmap for national action regarding CDS.
OBJECTIVE
Develop practical advice to aid CDS implementation in order to improve clinician performance.
METHOD
Structured group interview during a roundtable discussion by medical directors of information systems (N = 30), with subsequent review by participants and synthesis.
RESULTS
Participant consensus was that CDS should be comprehensive and should involve techniques such as order sets and facilitated documentation as well as alerts; should be subject to ongoing feedback; and should flow from and be governed by an organization's clinical goals.
CONCLUSION
A structured roundtable discussion of clinicians experienced in health information technology can yield practical, consensus advice for implementation of CDS.
背景
有充分证据表明临床决策支持（CDS）可提高临床医生的绩效。然而，更多证据显示临床医生在许多情况下仍表现欠佳。这表明持续需要实施CDS，进而促使制定关于CDS的国家行动路线图。
目的
制定实用建议以协助CDS的实施，从而提高临床医生的绩效。
方法
信息系统医学主任在圆桌讨论期间进行结构化小组访谈（N = 30），随后由参与者进行审查并综合。
结果
参与者达成共识，即CDS应全面，应涉及诸如医嘱集、便利文档以及警报等技术；应接受持续反馈；并且应源自并受组织的临床目标指导。
结论
对有健康信息技术经验的临床医生进行结构化圆桌讨论可为CDS的实施产生实用的、达成共识的建议。
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