Surveillance Branch, Respiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention (CDC), Morgantown, West Virginia (Filios, Drs Storey, Luensman); Queens College, City University of New York, Queens, New York (Dr Baron); and Yale University, New Haven, Connecticut (Dr Shiffman).
J Occup Environ Med. 2017 Nov;59(11):e227-e230. doi: 10.1097/JOM.0000000000001179.
This article outlines an approach to developing clinical decision support (CDS) for conditions related to work and health. When incorporated in electronic health records, such CDS will assist primary care providers (PCPs) care for working patients.
Three groups of Subject Matter Experts (SMEs) identified relevant clinical practice guidelines, best practices, and reviewed published literature concerning work-related asthma, return-to-work, and management of diabetes at work.
SMEs developed one recommendation per topic that could be supported by electronic CDS. Reviews with PCPs, staff, and health information system implementers in five primary care settings confirmed that the approach was important and operationally sound.
This compendium is intended to stimulate a dialogue between occupational health specialists and PCPs that will enhance the use of work information about patients in the primary care setting.
本文概述了一种为与工作和健康相关的病症开发临床决策支持（CDS）的方法。当此类 CDS 纳入电子健康记录中时，将有助于初级保健提供者（PCP）为工作患者提供护理。
三组主题专家（SMEs）确定了与工作相关的哮喘、重返工作岗位和工作中糖尿病管理相关的临床实践指南、最佳实践，并回顾了已发表的文献。
SMEs 为每个主题制定了一条建议，这些建议可以通过电子 CDS 来支持。在五个初级保健环境中与 PCP、员工和健康信息系统实施者进行的审查证实，该方法非常重要且具有可操作性。
本纲要旨在促进职业健康专家和 PCP 之间的对话，从而增强在初级保健环境中使用有关患者工作信息的能力。
