Alexiuk Mackenzie, Elgubtan Heba, Tangri Navdeep
Chronic Disease Innovation Centre, Winnipeg, Manitoba, Canada.
Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Kidney Int Rep. 2023 Oct 29;9(1):29-38. doi: 10.1016/j.ekir.2023.10.019. eCollection 2024 Jan.
The integration of clinical decision support (CDS) tools into electronic medical record (EMR) systems has become common. Although there are many benefits for both patients and providers from successful integration, barriers exist that prevent consistent and effective use of these tools. Such barriers include tool alert fatigue, lack of interoperability between tools and medical record systems, and poor acceptance of tools by care providers. However, successful integration of CDS tools into EMR systems have been reported; examples of these include the Statin Choice Decision Aid, and the Kidney Failure Risk Equation (KFRE). This article reviews the history of EMR systems and its integration with CDS tools, the barriers preventing successful integration, and the benefits reported from successful integration. This article also provides suggestions and strategies for improving successful integration, making these tools easier to use and more effective for care providers.
将临床决策支持（CDS）工具集成到电子病历（EMR）系统中已变得很常见。尽管成功集成对患者和医疗服务提供者都有诸多益处，但仍存在一些障碍，阻碍了这些工具的持续有效使用。此类障碍包括工具警报疲劳、工具与病历系统之间缺乏互操作性以及医疗服务提供者对工具的接受度低。然而，已有报道称CDS工具成功集成到EMR系统的案例；其中包括他汀类药物选择决策辅助工具和肾衰竭风险方程（KFRE）。本文回顾了EMR系统的历史及其与CDS工具的集成情况、阻碍成功集成的障碍以及成功集成所带来的益处。本文还提供了改进成功集成的建议和策略，使这些工具对医疗服务提供者而言更易于使用且更有效。
