Tsopra Rosy, Lamy Jean-Baptiste, Venot Alain, Duclos Catherine
Université Paris 13, Bobigny, France.
Stud Health Technol Inform. 2012;180:93-7.
Increasing physician adherence to the clinical practice guidelines (CPG) for infections should improve antibiotic prescription practices. The aim of this study was to present the decision elements of these CPG in an original interface to be implemented in the website "Antibiocarte". We manually analyzed all CPG available for ambulatory treatment of infections. We extracted all terms related to the antibiotic therapy decisions and grouped them into decision or action variables. We then modeled the antibiotic therapy decision process and designed an interface according to ergonomic principles. The interface consists of five fixed parts: a decision table, two information zones, a zone with the reasons for hospitalization, and a zone with situations not concerned by the CPG. All CPG could be implemented according to this model. The usability of the new interface was evaluated by ten general practitioners using the System Usability Scale (SUS) and found to be satisfactory and appropriate for clinical use.
提高医生对感染临床实践指南（CPG）的依从性应能改善抗生素处方行为。本研究的目的是在“Antibiocarte”网站上实施的一个原创界面中呈现这些CPG的决策要素。我们人工分析了所有可用于门诊感染治疗的CPG。我们提取了所有与抗生素治疗决策相关的术语，并将它们分组为决策变量或行动变量。然后，我们对抗生素治疗决策过程进行建模，并根据人体工程学原理设计了一个界面。该界面由五个固定部分组成：一个决策表、两个信息区、一个住院原因区和一个CPG未涉及情况区。所有CPG均可根据此模型实施。十位全科医生使用系统可用性量表（SUS）对新界面的可用性进行了评估，结果发现该界面令人满意且适合临床使用。
