临床医生对用于临床决策支持的患者数据质量的看法：一项定性研究。
Clinician perspectives on the quality of patient data used for clinical decision support: a qualitative study.
作者信息
McCormack James L, Ash Joan S
机构信息
Oregon Health & Science University, Portland, OR, USA.
出版信息
AMIA Annu Symp Proc. 2012;2012:1302-9. Epub 2012 Nov 3.
Abstract
OBJECTIVE
Clinical decision support (CDS), defined broadly as patient-specific information and knowledge provided at the point of care, depends on a foundation of high quality electronic patient data. Little is known about how clinicians perceive the quality and value of data used to support CDS within an electronic health record (EHR) environment.
METHODS
During a three-year research study, we collected ethnographic data from ten diverse organizations, including community hospitals, academic medical centers and ambulatory clinics.
RESULTS
An in-depth analysis of the theme "data as a foundation for CDS" yielded a descriptive framework incorporating five subthemes related to data quality: completeness, accessibility, context specificity, accuracy, and reliability.
CONCLUSION
We identified several multi-dimensional models that might be used to conceptualize data quality characteristics for future research. These results could provide new insights to system designers and implementers on the importance clinicians place on specific data quality characteristics regarding electronic patient data for CDS.
摘要
目的
临床决策支持（CDS）广义上定义为在医疗点提供的针对特定患者的信息和知识，它依赖于高质量电子患者数据这一基础。对于临床医生如何看待用于支持电子健康记录（EHR）环境中CDS的数据的质量和价值，我们知之甚少。
方法
在一项为期三年的研究中，我们从十个不同的机构收集了人种学数据，这些机构包括社区医院、学术医疗中心和门诊诊所。
结果
对“数据作为CDS的基础”这一主题的深入分析产生了一个描述性框架，该框架包含与数据质量相关的五个子主题：完整性、可及性、上下文特异性、准确性和可靠性。
结论
我们确定了几个多维模型，可用于为未来研究概念化数据质量特征。这些结果可为系统设计者和实施者提供新的见解，使其了解临床医生对用于CDS的电子患者数据的特定数据质量特征的重视程度。
相似文献
1
Clinician perspectives on the quality of patient data used for clinical decision support: a qualitative study.临床医生对用于临床决策支持的患者数据质量的看法：一项定性研究。
AMIA Annu Symp Proc. 2012;2012:1302-9. Epub 2012 Nov 3.
2
A clinical decision support needs assessment of community-based physicians.社区医生临床决策支持需求评估
J Am Med Inform Assoc. 2011 Dec;18 Suppl 1(Suppl 1):i28-35. doi: 10.1136/amiajnl-2011-000119. Epub 2011 Sep 2.
3
Using REDCap and Apple ResearchKit to integrate patient questionnaires and clinical decision support into the electronic health record to improve sexually transmitted infection testing in the emergency department.利用 REDCap 和 Apple ResearchKit 将患者问卷和临床决策支持整合到电子健康记录中，以改善急诊科的性传播感染检测。
J Am Med Inform Assoc. 2020 Feb 1;27(2):265-273. doi: 10.1093/jamia/ocz182.
4
Decision Support Tools within the Electronic Health Record.电子健康记录中的决策支持工具。
Clin Lab Med. 2019 Jun;39(2):197-213. doi: 10.1016/j.cll.2019.01.001. Epub 2019 Mar 28.
5
Provider Attitudes Toward the Implementation of Clinical Decision Support Tools in Dental Practice.医疗服务提供者对牙科实践中临床决策支持工具实施的态度。
J Evid Based Dent Pract. 2015 Dec;15(4):152-63. doi: 10.1016/j.jebdp.2015.09.001. Epub 2015 Sep 21.
6
Clinicians' Values and Preferences for Medication Adherence and Cost Clinical Decision Support in Primary Care: A Qualitative Study.临床医生对药物依从性和成本的价值观和偏好：初级保健中临床决策支持的定性研究。
Appl Clin Inform. 2020 May;11(3):405-414. doi: 10.1055/s-0040-1712467. Epub 2020 Jun 3.
7
Multiple perspectives on clinical decision support: a qualitative study of fifteen clinical and vendor organizations.临床决策支持的多元视角：对15个临床及供应商组织的定性研究
BMC Med Inform Decis Mak. 2015 Apr 24;15:35. doi: 10.1186/s12911-015-0156-4.
8
Emergency physicians' knowledge and attitudes of clinical decision support in the electronic health record: a survey-based study.急诊医师对电子健康记录中临床决策支持的知识和态度：一项基于调查的研究。
Acad Emerg Med. 2013 Apr;20(4):352-60. doi: 10.1111/acem.12109.
9
Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study.推荐在社区环境中使用计算机化临床决策支持和知识管理的实践：一项定性研究。
BMC Med Inform Decis Mak. 2012 Feb 14;12:6. doi: 10.1186/1472-6947-12-6.
10
Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing.医生在新旧电子健康记录之间转换时的电子处方体验。
Int J Med Inform. 2012 Aug;81(8):539-48. doi: 10.1016/j.ijmedinf.2012.02.010. Epub 2012 Mar 30.
引用本文的文献
1
A Novel Framework to Assess Clinical Information in Digital Health Technologies: Cross-Sectional Survey Study.一种评估数字健康技术中临床信息的新框架：横断面调查研究。
JMIR Med Inform. 2025 May 30;13:e58125. doi: 10.2196/58125.
2
Digital Health Data Quality Issues: Systematic Review.数字健康数据质量问题：系统评价。
J Med Internet Res. 2023 Mar 31;25:e42615. doi: 10.2196/42615.
3
Automating Electronic Health Record Data Quality Assessment.自动化电子健康记录数据质量评估。
J Med Syst. 2023 Feb 13;47(1):23. doi: 10.1007/s10916-022-01892-2.
4
Assessment of Clinical Information Quality in Digital Health Technologies: International eDelphi Study.数字健康技术中临床信息质量评估：国际 eDelphi 研究。
J Med Internet Res. 2022 Dec 6;24(12):e41889. doi: 10.2196/41889.
5
Information Quality Frameworks for Digital Health Technologies: Systematic Review.数字健康技术的信息质量框架：系统评价。
J Med Internet Res. 2021 May 17;23(5):e23479. doi: 10.2196/23479.
6
EHR-Independent Predictive Decision Support Architecture Based on OMOP.基于 OMOP 的 EHR 独立预测决策支持架构。
Appl Clin Inform. 2020 May;11(3):399-404. doi: 10.1055/s-0040-1710393. Epub 2020 Jun 3.
7
Factors impacting physician use of information charted by others.影响医生使用他人所记录信息的因素。
JAMIA Open. 2019 Apr;2(1):107-114. doi: 10.1093/jamiaopen/ooy041. Epub 2018 Dec 28.
8
The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerised clinical decision support.GUIDES 清单：开发一种工具以提高基于指南的计算机临床决策支持的成功使用。
Implement Sci. 2018 Jun 25;13(1):86. doi: 10.1186/s13012-018-0772-3.
9
Applying STOPP Guidelines in Primary Care Through Electronic Medical Record Decision Support: Randomized Control Trial Highlighting the Importance of Data Quality.通过电子病历决策支持在初级保健中应用STOPP指南：强调数据质量重要性的随机对照试验
JMIR Med Inform. 2017 Jun 15;5(2):e15. doi: 10.2196/medinform.6226.
10
An Ontology for Telemedicine Systems Resiliency to Technological Context Variations in Pervasive Healthcare.远程医疗系统本体论，用于应对普及医疗保健中技术环境变化的弹性问题。
IEEE J Transl Eng Health Med. 2015 Jul 21;3:2900110. doi: 10.1109/JTEHM.2015.2458870. eCollection 2015.
本文引用的文献
1
Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study.推荐在社区环境中使用计算机化临床决策支持和知识管理的实践：一项定性研究。
BMC Med Inform Decis Mak. 2012 Feb 14;12:6. doi: 10.1186/1472-6947-12-6.
2
Using FDA reports to inform a classification for health information technology safety problems.利用 FDA 报告为健康信息技术安全问题提供分类依据。
J Am Med Inform Assoc. 2012 Jan-Feb;19(1):45-53. doi: 10.1136/amiajnl-2011-000369. Epub 2011 Sep 8.
3
Effects of clinical decision-support systems on practitioner performance and patient outcomes: a synthesis of high-quality systematic review findings.临床决策支持系统对医师表现和患者结局的影响：高质量系统评价结果的综合分析。
J Am Med Inform Assoc. 2011 May 1;18(3):327-34. doi: 10.1136/amiajnl-2011-000094. Epub 2011 Mar 21.
4
Multiple perspectives on the meaning of clinical decision support.关于临床决策支持意义的多种观点。
AMIA Annu Symp Proc. 2010 Nov 13;2010:672-6.
5
Electronic health records and clinical decision support systems: impact on national ambulatory care quality.电子健康记录与临床决策支持系统：对国家门诊医疗质量的影响
Arch Intern Med. 2011 May 23;171(10):897-903. doi: 10.1001/archinternmed.2010.527. Epub 2011 Jan 24.
6
Rapid assessment of clinical information systems in the healthcare setting: an efficient method for time-pressed evaluation.医疗机构中临床信息系统的快速评估：一种适用于时间紧迫情况下评估的有效方法。
Methods Inf Med. 2011;50(4):299-307. doi: 10.3414/ME10-01-0042. Epub 2010 Dec 20.
7
The role of standardized data and terminological systems in computerized clinical decision support systems: literature review and survey.标准化数据和术语系统在计算机临床决策支持系统中的作用：文献回顾和调查。
Int J Med Inform. 2011 Feb;80(2):81-93. doi: 10.1016/j.ijmedinf.2010.11.006. Epub 2010 Dec 17.
8
A new sociotechnical model for studying health information technology in complex adaptive healthcare systems.一种用于在复杂适应性医疗系统中研究健康信息技术的新社会技术模型。
Qual Saf Health Care. 2010 Oct;19 Suppl 3(Suppl 3):i68-74. doi: 10.1136/qshc.2010.042085.
9
Accuracy and completeness of electronic patient records in primary care.基层医疗中电子病历的准确性和完整性。
Fam Pract. 2008 Aug;25(4):213-4. doi: 10.1093/fampra/cmn047.
10
Zotero 插件