Walsh Kieran
BMJ Simul Technol Enhanc Learn. 2019 Sep 19;5(4):218-220. doi: 10.1136/bmjstel-2018-000368. eCollection 2019.
This paper describes an evaluation of how doctors might use an online clinical decision support tool to improve the care that they would provide to patients with infectious disease and what features they would expect in such a clinical decision support tool. Semistructured interviews were conducted by telephone with doctors to evaluate the utility of a clinical decision support tool in helping them to improve the care that they would provide to patients with infectious disease and to assess the features that they would value in such a tool. The doctors were primarily interested in how they could use the tool to improve care. They were short of time and so needed to be able to access the content that they needed really quickly. They expected content that was both evidence based and current, and they used a range of devices to access the content. They used desktops, laptops, mobiles and sometimes mobile apps. Doctors view the utility of clinical decision support in the management of rare infectious diseases from a number of perspectives. However, they primarily see utility in the tools as a result of their capacity to improve clinical practice in infectious diseases.
本文描述了一项关于医生如何使用在线临床决策支持工具来改善他们为传染病患者提供的护理，以及他们期望这种临床决策支持工具具备哪些功能的评估。通过电话对医生进行了半结构化访谈，以评估临床决策支持工具在帮助他们改善为传染病患者提供的护理方面的效用，并评估他们在这样一种工具中看重的功能。医生们主要关注如何使用该工具来改善护理。他们时间紧张，因此需要能够非常快速地获取所需内容。他们期望内容既有循证依据又与时俱进，并且他们使用多种设备来获取内容。他们使用台式电脑、笔记本电脑、手机，有时还使用移动应用程序。医生们从多个角度看待临床决策支持在罕见传染病管理中的效用。然而，他们主要认为该工具的效用在于其改善传染病临床实践的能力。
