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引用本文的文献

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J Med Internet Res. 2021 Jun 11;23(6):e25741. doi: 10.2196/25741.
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Hosp Pharm. 2021 Apr;56(2):95-101. doi: 10.1177/0018578719867663. Epub 2019 Aug 6.
3
What rationale do GPs use to choose a particular antibiotic for a specific clinical situation?全科医生在特定临床情况下选择特定抗生素的依据是什么?
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4
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本文引用的文献

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A multicomponent decision tool for prioritising the updating of systematic reviews.一种用于确定系统评价更新优先级的多成分决策工具。
BMJ. 2013 Dec 13;347:f7191. doi: 10.1136/bmj.f7191.
2
Comparison of two kinds of interface, based on guided navigation or usability principles, for improving the adoption of computerized decision support systems: application to the prescription of antibiotics.基于引导式导航或可用性原则的两种界面比较,以提高计算机化决策支持系统的采用率:在抗生素处方中的应用。
J Am Med Inform Assoc. 2014 Feb;21(e1):e107-16. doi: 10.1136/amiajnl-2013-002042. Epub 2013 Sep 5.
3
Which breast cancer decisions remain non-compliant with guidelines despite the use of computerised decision support?尽管使用了计算机化决策支持,哪些乳腺癌决策仍然不符合指南?
Br J Cancer. 2013 Sep 3;109(5):1147-56. doi: 10.1038/bjc.2013.453. Epub 2013 Aug 13.
4
Design of an original interface that facilitates the use of clinical practice guidelines of infection by physicians in primary care.设计一种原创界面,以方便基层医疗医生使用感染临床实践指南。
Stud Health Technol Inform. 2012;180:93-7.
5
The Arden Syntax standard for clinical decision support: experiences and directions.阿登语法临床决策支持标准:经验与方向。
J Biomed Inform. 2012 Aug;45(4):711-8. doi: 10.1016/j.jbi.2012.02.001. Epub 2012 Feb 10.
6
Perceived barriers to guideline adherence: a survey among general practitioners.医生对指南依从性的认知障碍:一项针对全科医生的调查。
BMC Fam Pract. 2011 Sep 22;12:98. doi: 10.1186/1471-2296-12-98.
7
Origins and evolution of antibiotic resistance.抗生素耐药性的起源与演变。
Microbiol Mol Biol Rev. 2010 Sep;74(3):417-33. doi: 10.1128/MMBR.00016-10.
8
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.
9
Why don't physicians adhere to guideline recommendations in practice? An analysis of barriers among Dutch general practitioners.为什么医生在实践中不遵守指南建议?荷兰全科医生的障碍分析。
Implement Sci. 2009 Aug 12;4:54. doi: 10.1186/1748-5908-4-54.
10
GLIF3: a representation format for sharable computer-interpretable clinical practice guidelines.GLIF3:一种用于可共享的计算机可解释临床实践指南的表示格式。
J Biomed Inform. 2004 Jun;37(3):147-61. doi: 10.1016/j.jbi.2004.04.002.

一种使用抗生素的十二种特性来找出如临床实践指南中所推荐的抗生素的算法。

An Algorithm Using Twelve Properties of Antibiotics to Find the Recommended Antibiotics, as in CPGs.

作者信息

Tsopra R, Venot A, Duclos C

机构信息

INSERM, U1142, LIMICS, F-75006, Paris, France ; Université Paris 13, Sorbonne Paris Cité, F-93000, Bobigny, France ; Sorbonne Universités, Univ Paris 06, F-75006, Paris, France.

出版信息

AMIA Annu Symp Proc. 2014 Nov 14;2014:1115-24. eCollection 2014.

PMID:25954422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4419953/
Abstract

BACKGROUND

Clinical Decision Support Systems (CDSS) incorporating justifications, updating and adjustable recommendations can considerably improve the quality of healthcare. We propose a new approach to the design of CDSS for empiric antibiotic prescription, based on implementation of the deeper medical reasoning used by experts in the development of clinical practice guidelines (CPGs), to deduce the recommended antibiotics.

METHODS

We investigated two methods ("exclusion" versus "scoring") for reproducing this reasoning based on antibiotic properties.

RESULTS

The "exclusion" method reproduced expert reasoning the more accurately, retrieving the full list of recommended antibiotics for almost all clinical situations.

DISCUSSION

This approach has several advantages: (i) it provides convincing explanations for physicians; (ii) updating could easily be incorporated into the CDSS; (iii) it can provide recommendations for clinical situations missing from CPGs.

摘要

背景

包含理由说明、更新及可调整建议的临床决策支持系统(CDSS)能显著提高医疗质量。我们基于临床实践指南(CPG)制定过程中专家所运用的更深入医学推理的实施,提出了一种用于经验性抗生素处方的CDSS设计新方法,以推断推荐使用的抗生素。

方法

我们研究了两种基于抗生素特性重现此推理的方法(“排除法 ”与 “评分法”)。

结果

“排除法 ”更准确地重现了专家推理,几乎能检索出所有临床情况的推荐抗生素完整列表。

讨论

此方法具有几个优点:(i)为医生提供有说服力的解释;(ii)更新可轻松纳入CDSS;(iii)可为CPG中未涵盖的临床情况提供建议。