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比较临床决策支持系统对医疗服务提供者实施肥胖预防指南行为的有效性。

Comparing the Effectiveness of CDSS on Provider's Behaviors to Implement Obesity Prevention Guidelines.

作者信息

Skiba Diane J, Gance-Cleveland Bonnie, Gilbert Kevin, Gilbert Lynn, Dandreaux Danielle

机构信息

University of Colorado College of Nursing, Aurora, Colorado USA;

出版信息

NI 2012 (2012). 2012 Jun 23;2012:376. eCollection 2012.

Abstract

Obesity is a global epidemic demanding the use of clinical decision support tools to help clinicians in the identification, assessment and management of healthy weight gain in children. Over the last decade, numerous systematic reviews have shown that clinical decision support systems (CDSS) have positively impacted clinician's performance for drug ordering/dosing and preventive care reminders. CDSS that are built into the clinician's workflow at the point of care also have a positive impact on provider's performance. There are limited studies that examine CDSS in nursing practice. This paper describes a comparative effectiveness study being conducted in school-based clinics to examine the impact of web-based training with and without a CDSS that contains tailored recommendations. The study involves the use of a CDSS tool focused on cardiovascular risks, HeartSmartKids™. This research is an important example of an interdisciplinary team using information technology to address the global issue of obesity prevention.

摘要

肥胖是一种全球流行病,需要使用临床决策支持工具来帮助临床医生识别、评估和管理儿童健康体重增加。在过去十年中,众多系统评价表明,临床决策支持系统(CDSS)对临床医生的药物订购/给药和预防保健提醒表现产生了积极影响。在护理点融入临床医生工作流程的CDSS也对医疗服务提供者的表现产生积极影响。研究CDSS在护理实践中的应用的研究有限。本文描述了一项正在学校诊所进行的比较有效性研究,以检验有和没有包含定制建议的CDSS的网络培训的影响。该研究涉及使用专注于心血管风险的CDSS工具HeartSmartKids™。这项研究是跨学科团队利用信息技术解决肥胖预防这一全球问题的一个重要范例。

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