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视觉证据:提高系统评价在卫生系统指南制定中的可用性。

Visual Evidence: Increasing Usability of Systematic Reviews in Health Systems Guidelines Development.

机构信息

Department of Medical Informatics and Clinical Epidemiology, Pacific Northwest Evidence-based Practice Center, Oregon Health and Science University, Portland, Oregon, United States.

出版信息

Appl Clin Inform. 2019 Aug;10(4):743-750. doi: 10.1055/s-0039-1697595. Epub 2019 Oct 2.

Abstract

BACKGROUND

Integration of evidence from systematic reviews is an essential step in the development of clinical guidelines. The current practice for reporting uses a static structure that does not allow for dynamic investigation. A need exists for an alternate reporting modality to facilitate dynamic visualization of results to match different end-users' queries.

OBJECTIVES

We developed a dynamic visualization of data from a systematic review using the commercial product Tableau and assessed its potential to permit customized inquiries.

METHODS

Data were selected and extracted from a previously completed systematic review. The resulting dataset was then used to develop an interactive, web-based report designed for use by a guidelines development committee.

RESULTS

A novel example of combining existing reporting standards for systematic review data and modern reporting tools was developed to investigate potential benefits of a dynamic report. Demonstrations of the report to clinicians sitting on previous and future guideline committees received positive feedback for its potential benefit in guidelines development. The report received a runner-up award during the design challenge at the 2018 Workshop on Visual Analytics in Health Care.

CONCLUSION

The use of interactive, accessible data may increase the use of systematic reviews and aid decision makers in developing evidence-based practice changes.

摘要

背景

系统评价证据的综合是临床指南制定的一个重要步骤。目前的报告实践使用静态结构,不允许动态调查。需要一种替代的报告方式,以便于动态可视化结果,以匹配不同最终用户的查询。

目的

我们使用商业产品 Tableau 对系统评价中的数据进行了动态可视化,并评估了其允许自定义查询的潜力。

方法

从之前完成的系统评价中选择和提取数据。然后,使用该数据集开发了一个交互式的、基于网络的报告,旨在供指南制定委员会使用。

结果

开发了一个新的例子,将现有的系统评价数据报告标准和现代报告工具结合起来,以调查动态报告的潜在好处。向之前和未来的指南委员会的临床医生展示该报告,得到了积极的反馈,认为其在指南制定中有潜在的好处。该报告在 2018 年医疗保健视觉分析研讨会上的设计挑战赛中获得了第二名。

结论

使用交互式、可访问的数据可能会增加系统评价的使用,并帮助决策者制定基于证据的实践改变。

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