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
Health Sciences Department, NORC at the University of Chicago, Bethesda, MD 20814, United States.
AcademyHealth, Washington, DC 20006, United States.
JAMIA Open. 2024 Oct 23;7(4):ooae109. doi: 10.1093/jamiaopen/ooae109. eCollection 2024 Dec.
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).
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.
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.
Innovative approaches are needed to ensure patients' and caregivers' voices are meaningfully included to advance PC CDS.
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。
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。
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。
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。