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A generic system for critiquing physicians' prescriptions: usability, satisfaction and lessons learnt.

作者信息

Lamy Jean-Baptiste, Ebrahiminia Vahid, Seroussi Brigitte, Bouaud Jacques, Simon Christia, Favre Madeleine, Falcoff Hector, Venot Alain

机构信息

Laboratoire d'Informatique Médicale et Bioinformatique, UFR SMBH, Université Paris 13, Bobigny, France.

出版信息

Stud Health Technol Inform. 2011;169:125-9. doi: 10.3233/978-1-60750-806-9-125.

DOI:10.3233/978-1-60750-806-9-125
PMID:21893727
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3882916/
Abstract

Clinical decision support systems have been developed to help physicians to take clinical guidelines into account during consultations. The ASTI critiquing module is one such systems; it provides the physician with automatic criticisms when a drug prescription does not follow the guidelines. It was initially developed for hypertension and type 2 diabetes, but is designed to be generic enough for application to all chronic diseases. We present here the results of usability and satisfaction evaluations for the ASTI critiquing module, obtained with GPs for a newly implemented guideline concerning dyslipaemia, and we discuss the lessons learnt and the difficulties encountered when building a generic DSS for critiquing physicians' prescriptions.

摘要

相似文献

1
A generic system for critiquing physicians' prescriptions: usability, satisfaction and lessons learnt.
Stud Health Technol Inform. 2011;169:125-9. doi: 10.3233/978-1-60750-806-9-125.
2
Do decision support systems influence variation in prescription?决策支持系统会影响处方的差异吗?
BMC Health Serv Res. 2009 Jan 30;9:20. doi: 10.1186/1472-6963-9-20.
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Stud Health Technol Inform. 2004;101:142-6.
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引用本文的文献

1
Mapping ASTI patient's therapeutic-data model to virtual Medical Record: can VMR represent therapeutic data elements used by ASTI in clinical guideline implementations?将ASTI患者的治疗数据模型映射到虚拟病历:虚拟病历能否代表ASTI在临床指南实施中使用的治疗数据元素?
AMIA Annu Symp Proc. 2013 Nov 16;2013:372-8. eCollection 2013.

本文引用的文献

1
Why GPs do not follow computerized guidelines: an attempt of explanation involving usability with ASTI guiding mode.
Stud Health Technol Inform. 2010;160(Pt 2):1236-40.
2
Identifying best practices for clinical decision support and knowledge management in the field.确定该领域临床决策支持和知识管理的最佳实践方法。
Stud Health Technol Inform. 2010;160(Pt 2):806-10.
3
How to translate therapeutic recommendations in clinical practice guidelines into rules for critiquing physician prescriptions? Methods and application to five guidelines.如何将临床实践指南中的治疗建议转化为评价医生处方的规则?方法及在 5 个指南中的应用。
BMC Med Inform Decis Mak. 2010 May 28;10:31. doi: 10.1186/1472-6947-10-31.
4
A parallel guideline development and formalization strategy to improve the quality of clinical practice guidelines.一种提高临床实践指南质量的并行指南制定与形式化策略。
Int J Med Inform. 2009 Aug;78(8):513-20. doi: 10.1016/j.ijmedinf.2009.02.010. Epub 2009 Apr 17.
5
Computer-based execution of clinical guidelines: a review.基于计算机的临床指南执行情况综述
Int J Med Inform. 2008 Dec;77(12):787-808. doi: 10.1016/j.ijmedinf.2008.05.010. Epub 2008 Jul 17.
6
Use of the C4.5 machine learning algorithm to test a clinical guideline-based decision support system.使用C4.5机器学习算法测试基于临床指南的决策支持系统。
Stud Health Technol Inform. 2008;136:223-8.
7
Electronic alerts versus on-demand decision support to improve dyslipidemia treatment: a cluster randomized controlled trial.电子警报与按需决策支持对改善血脂异常治疗的效果:一项整群随机对照试验
Circulation. 2008 Jan 22;117(3):371-8. doi: 10.1161/CIRCULATIONAHA.107.697201. Epub 2008 Jan 2.
8
Grand challenges in clinical decision support.临床决策支持中的重大挑战。
J Biomed Inform. 2008 Apr;41(2):387-92. doi: 10.1016/j.jbi.2007.09.003. Epub 2007 Sep 21.
9
Runtime application of Hybrid-Asbru clinical guidelines.混合式阿斯布鲁临床指南的运行时应用
J Biomed Inform. 2007 Oct;40(5):507-26. doi: 10.1016/j.jbi.2006.12.004. Epub 2006 Dec 24.
10
Textual guidelines versus computable guidelines: a comparative study in the framework of the PRESGUID project in order to appreciate the impact of guideline format on physician compliance.文本指南与可计算指南:在PRESGUID项目框架内的一项比较研究,以评估指南格式对医生依从性的影响。
AMIA Annu Symp Proc. 2006;2006:219-23.