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[西班牙国家卫生系统质量法的促进指令:计算机可解释的临床实践指南]

[Promoting directives of the Quality Law of the Spanish National Health System: Computer-interpretable clinical practice guidelines].

作者信息

González-Ferrer Arturo, Valcárcel María Ángel

机构信息

Unidad de Innovación, Hospital Clínico San Carlos. Fundación de Investigación Biomédica, Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, España.

Unidad de Innovación, Hospital Clínico San Carlos. Fundación de Investigación Biomédica, Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, España.

出版信息

Aten Primaria. 2018 Apr;50(4):247-255. doi: 10.1016/j.aprim.2017.02.016. Epub 2017 Jul 24.

DOI:10.1016/j.aprim.2017.02.016
PMID:28751102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6839198/
Abstract

The Cohesion and Quality Act of the National Health System promotes the use of new technologies to make it possible for health professionals put the scientific evidence into practice. In order to do this, there are technological tools, known as of computer-interpretable guidelines, which can help achieve this goal from an innovation perspective. They can be adopted using an iterative process, having a great initial potential as an educational tool, of quality and safety of the patient, in the decision making and, optionally, can be integrated with the electronic medical history, once they are rigorously validated. This article presents updates on these tools, reviews international projects, and personal experiences in which they have demonstrated their value, and highlights the advantages, risks, and limitations they present from a clinical point of view.

摘要

国家卫生系统的《凝聚力与质量法案》推动新技术的使用,以使卫生专业人员能够将科学证据应用于实践。为实现这一目标,有一些被称为计算机可解释指南的技术工具,它们可以从创新的角度帮助实现这一目标。可以通过迭代过程采用这些工具,它们作为一种教育工具、对患者质量和安全以及在决策方面具有很大的初始潜力,并且一旦经过严格验证,还可以与电子病历集成。本文介绍了这些工具的最新情况,回顾了国际项目以及它们展示其价值的个人经验,并从临床角度强调了它们的优势、风险和局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5f6/6839198/14ce79763477/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5f6/6839198/14ce79763477/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5f6/6839198/14ce79763477/gr1.jpg

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本文引用的文献

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Development of a computer-interpretable clinical guideline model for decision support in the differential diagnosis of hyponatremia.用于低钠血症鉴别诊断决策支持的计算机可解释临床指南模型的开发。
Int J Med Inform. 2017 Jul;103:55-64. doi: 10.1016/j.ijmedinf.2017.04.014. Epub 2017 Apr 19.
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Assessment of a personalized and distributed patient guidance system.个性化分布式患者指导系统的评估
Int J Med Inform. 2017 May;101:108-130. doi: 10.1016/j.ijmedinf.2017.02.010. Epub 2017 Feb 21.
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The GRADE evidence-to-decision framework: a report of its testing and application in 15 international guideline panels.
GRADE证据到决策框架:关于其在15个国际指南小组中的测试与应用的报告
Implement Sci. 2016 Jul 15;11:93. doi: 10.1186/s13012-016-0462-y.
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[Shared decision making].[共同决策]
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Interventions to increase the use of electronic health information by healthcare practitioners to improve clinical practice and patient outcomes.旨在增加医疗从业者对电子健康信息的使用以改善临床实践和患者治疗效果的干预措施。
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