团队医疗时代的临床决策支持的黄金机会。
Golden opportunities for clinical decision support in an era of team-based healthcare.
机构信息
Regenstrief Institute, Inc., Indianapolis, IN.
Indiana University School of Medicine, Indianapolis, IN.
出版信息
AMIA Annu Symp Proc. 2022 Feb 21;2021:372-377. eCollection 2021.
Abstract
Computerized clinical decision support (CDS) will be essential to ensuring the safety and efficiency of new care delivery models, such as the patient-centered medical home. CDS will help empower non-physician team members, coordinate overall team efforts, and facilitate physician oversight. In this article, we discuss common clinical scenarios that could benefit from CDS optimized for team-based healthcare, including (1) low-acuity episodic illness, (2) diagnostic workup of new onset symptoms, (3) chronic care, (4) preventive care, and (5) care coordination. CDS that maximally supports teams may be one of biomedical informatics' best opportunities to decrease health care costs, improve quality, and increase clinical capacity.
摘要
计算机化临床决策支持（CDS）对于确保新的护理提供模式（如以患者为中心的医疗之家）的安全性和效率至关重要。CDS 将有助于增强非医师团队成员的能力，协调整个团队的努力，并促进医师监督。在本文中，我们讨论了可能受益于针对基于团队的医疗保健进行优化的 CDS 的常见临床情况，包括（1）低严重度偶发性疾病，（2）新发症状的诊断评估，（3）慢性病管理，（4）预防保健，以及（5）护理协调。最大程度地支持团队的 CDS 可能是生物医学信息学降低医疗成本、提高质量和增加临床能力的最佳机会之一。
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