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Appl Clin Inform. 2023 Oct;14(5):913-922. doi: 10.1055/a-2174-7820. Epub 2023 Sep 13.
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Appl Clin Inform. 2023 May;14(3):566-574. doi: 10.1055/s-0043-1769911. Epub 2023 Jul 26.
3
A lifecycle framework illustrates eight stages necessary for realizing the benefits of patient-centered clinical decision support.生命周期框架说明了实现以患者为中心的临床决策支持效益所需的八个阶段。
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Comparing Physician and Artificial Intelligence Chatbot Responses to Patient Questions Posted to a Public Social Media Forum.比较医生和人工智能聊天机器人对发布在公共社交媒体论坛上的患者问题的回复。
JAMA Intern Med. 2023 Jun 1;183(6):589-596. doi: 10.1001/jamainternmed.2023.1838.
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6
Challenges and opportunities for advancing patient-centered clinical decision support: findings from a horizon scan.推进以患者为中心的临床决策支持的挑战与机遇:来自一次地平线扫描的研究结果。
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在当今医疗保健生态系统中推进以患者为中心的临床决策支持:临床决策支持创新协作组织2023年年会的关键主题

Advancing patient-centered clinical decision support in today's health care ecosystem: key themes from the Clinical Decision Support Innovation Collaborative's 2023 Annual Meeting.

作者信息

Dullabh Prashila, Dhopeshwarkar Rina, Cope Elizabeth, Gauthreaux Nicole, Zott Courtney, Peterson Caroline, Leaphart Desirae, Hoyt Sarah, Hammer Amy, Ryan Sofia, Swiger James, Lomotan Edwin A, Desai Priyanka

机构信息

Health Sciences Department, NORC at the University of Chicago, Bethesda, MD 20814, United States.

AcademyHealth, Washington, DC 20006, United States.

出版信息

JAMIA Open. 2024 Oct 23;7(4):ooae109. doi: 10.1093/jamiaopen/ooae109. eCollection 2024 Dec.

DOI:10.1093/jamiaopen/ooae109
PMID:39445034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11498195/
Abstract

OBJECTIVE

This perspective summarizes key themes that arose from stakeholder discussions at the inaugural Clinical Decision Support Innovation Collaborative (CDSiC) 2023 Annual Meeting. The CDSiC is an Agency for Healthcare Research and Quality (AHRQ)-funded innovation hub for patient-centered clinical decision support (PC CDS).

MATERIALS AND METHODS

The meeting took place on May 16-17, 2023, and engaged 73 participants that represented a range of stakeholder groups including researchers, informaticians, federal representatives, clinicians, patients, and electronic health record developers. Each meeting session was recorded and had 2 notetakers. CDSiC leadership analyzed the compiled meeting notes to synthesize key themes.

RESULTS

Participants discussed 7 key opportunities to advance PC CDS: (1) establish feedback loops between patients and clinicians; (2) develop new workflows; (3) expand the evidence base; (4) adapt the CDS Five Rights for the patient perspective; (5) advance health equity; (6) explore perceptions on the use of artificial intelligence; and (7) encourage widespread use and scalability of PC CDS.

DISCUSSION AND CONCLUSION

Innovative approaches are needed to ensure patients' and caregivers' voices are meaningfully included to advance PC CDS.

摘要

目的

本观点总结了在首届临床决策支持创新协作组织(CDSiC)2023年年度会议上利益相关者讨论中出现的关键主题。CDSiC是一个由医疗保健研究与质量局(AHRQ)资助的以患者为中心的临床决策支持(PC CDS)创新中心。

材料与方法

会议于2023年5月16 - 17日举行,有73名参与者,他们代表了一系列利益相关者群体,包括研究人员、信息学家、联邦代表、临床医生、患者和电子健康记录开发者。每次会议都进行了记录,并安排了两名记录员。CDSiC领导层分析了汇编的会议记录以总结关键主题。

结果

参与者讨论了推进PC CDS的7个关键机会:(1)在患者和临床医生之间建立反馈回路;(2)开发新的工作流程;(3)扩大证据基础;(4)从患者角度调整CDS的五项权利;(5)促进健康公平;(6)探索对人工智能使用的看法;(7)鼓励PC CDS的广泛使用和可扩展性。

讨论与结论

需要创新方法来确保患者和护理人员的声音被有意义地纳入,以推进PC CDS。