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The effect of health information technology implementation in Veterans Health Administration hospitals on patient outcomes.退伍军人健康管理局医院实施健康信息技术对患者结局的影响。
Healthc (Amst). 2014 Mar;2(1):40-7. doi: 10.1016/j.hjdsi.2013.12.009. Epub 2014 Mar 18.
2
Data mining nursing care plans of end-of-life patients: a study to improve healthcare decision making.挖掘临终患者的护理计划：一项改善医疗决策的研究。
Int J Nurs Knowl. 2013 Feb;24(1):15-24. doi: 10.1111/j.2047-3095.2012.01217.x. Epub 2012 Aug 17.
3
Maintaining a consistent big picture: meaningful use of a Web-based POC EHR system.保持全局一致性：基于网络的床边即时检验电子健康记录系统的有效应用。
Int J Nurs Knowl. 2012 Oct;23(3):119-33. doi: 10.1111/j.2047-3095.2012.01215.x. Epub 2012 Jun 20.
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Modeling nurses' acceptance of bar coded medication administration technology at a pediatric hospital.对儿科医院护士接受条形码药物管理技术的建模。
J Am Med Inform Assoc. 2012 Nov-Dec;19(6):1050-8. doi: 10.1136/amiajnl-2011-000754. Epub 2012 Jun 3.
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Modeling the acceptance of clinical information systems among hospital medical staff: an extended TAM model.医院医务人员对临床信息系统接受度的建模：扩展的 TAM 模型。
J Biomed Inform. 2011 Aug;44(4):553-64. doi: 10.1016/j.jbi.2011.01.009. Epub 2011 Feb 1.
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Cognitive testing of PAINReportIt in adult African Americans with sickle cell disease.对患有镰状细胞病的成年非裔美国人进行PAINReportIt认知测试。
Comput Inform Nurs. 2010 May-Jun;28(3):141-50. doi: 10.1097/NCN.0b013e3181d7820b.
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The technology acceptance model: its past and its future in health care.技术接受模型：在医疗保健领域的过去和未来。
J Biomed Inform. 2010 Feb;43(1):159-72. doi: 10.1016/j.jbi.2009.07.002. Epub 2009 Jul 15.
8
Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety.条形码给药系统的变通方法：其发生情况、原因及对患者安全的威胁。
J Am Med Inform Assoc. 2008 Jul-Aug;15(4):408-23. doi: 10.1197/jamia.M2616. Epub 2008 Apr 24.
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The analysis and interpretation of cognitive interviews for instrument development.用于量表开发的认知访谈的分析与解读
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Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.实施一种商业销售的计算机化医师医嘱录入系统后意外增加的死亡率。
Pediatrics. 2005 Dec;116(6):1506-12. doi: 10.1542/peds.2005-1287.

基于护理电子健康记录数据，探索一种更强大、高效的护士临床决策支持可用性测试方法。

Toward a More Robust and Efficient Usability Testing Method of Clinical Decision Support for Nurses Derived From Nursing Electronic Health Record Data.

作者信息

Lopez Karen Dunn, Febretti Alessandro, Stifter Janet, Johnson Andrew, Wilkie Diana J, Keenan Gail

机构信息

Assistant Professor, Department of Health Systems Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois.

Research Associate, Electronic Visualization Laboratory, College of Engineering, College of Nursing, University of Illinois at Chicago, Chicago, Illinois.

出版信息

Int J Nurs Knowl. 2017 Oct;28(4):211-218. doi: 10.1111/2047-3095.12146. Epub 2016 Jun 24.

DOI:10.1111/2047-3095.12146
PMID:27337939
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5183526/
Abstract

PURPOSE

To develop methods for rapid and simultaneous design, testing, and management of multiple clinical decision support (CDS) features to aid nurse decision-making.

METHODS

We used quota sampling, think-aloud and cognitive interviews, and deductive and inductive coding of synchronized audio video data and archival libraries.

FINDINGS

Our methods and organizational tools allowed us to rapidly improve the usability, understandability, and usefulness of CDS in a generalizable sample of practicing nurses.

CONCLUSIONS

The method outlined allows the rapid integration of nursing terminology based electronic health record data into routine workflow and holds strong potential for improving patient outcomes.

IMPLICATIONS FOR NURSING PRACTICE

The methods and organizational tools for development of multiple CDS system features can be used to translate knowledge into practice.

摘要

目的

开发用于快速同步设计、测试和管理多个临床决策支持（CDS）功能的方法，以辅助护士进行决策。

方法

我们采用配额抽样、出声思考法和认知访谈，以及对同步音频视频数据和档案库进行演绎和归纳编码。

研究结果

我们的方法和组织工具使我们能够在具有代表性的执业护士样本中迅速提高CDS的可用性、可理解性和实用性。

结论

所概述的方法能够将基于护理术语的电子健康记录数据快速整合到常规工作流程中，并具有改善患者预后的巨大潜力。

对护理实践的启示

开发多个CDS系统功能的方法和组织工具可用于将知识转化为实践。