Richardson Joshua E, Ash Joan S, Sittig Dean F, Bunce Arwen, Carpenter James, Dykstra Richard H, Guappone Ken, McMullen Carmit K, Shapiro Michael, Wright Adam
Oregon Health & Science University, Portland, OR;
AMIA Annu Symp Proc. 2010 Nov 13;2010:672-6.
Clinical Decision Support (CDS) is viewed as a means to improve safety and efficiency in health care. Yet the lack of a consensus around what is meant by CDS represents a barrier to effective design, use, and utilization of CDS tools. We conducted a multi-site qualitative inquiry to understand how different people define and describe CDS. Using subjects' multiple perspectives we were able to gain new insights as to what stakeholders want CDS to achieve and how to achieve it; even at times when those perspectives are competing and conflicting.
临床决策支持(CDS)被视为提高医疗保健安全性和效率的一种手段。然而,对于CDS的含义缺乏共识,这成为了有效设计、使用和利用CDS工具的一个障碍。我们进行了一项多地点定性调查,以了解不同的人如何定义和描述CDS。通过采用受试者的多种观点,我们能够就利益相关者希望CDS实现的目标以及如何实现这些目标获得新的见解;即使在这些观点相互竞争和冲突的时候也是如此。