The Asthma Kiosk: A Patient-centered Technology for Collaborative Decision Support in the Emergency Department

机译：哮喘病亭：以患者为中心的急诊科协作决策支持技术

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摘要

The authors report on the development and evaluation of a novel patient-centered technology that promotes capture of critical information necessary to drive guideline-based care for pediatric asthma. The design of this application, the asthma kiosk, addresses five critical issues for patient-centered technology that promotes guideline-based care: (1) a front-end mechanism for patient-driven data capture, (2) neutrality regarding patients' medical expertise and technical backgrounds, (3) granular capture of medication data directly from the patient, (4) formal algorithms linking patient-level semantics and asthma guidelines, and (5) output to both patients and clinical providers regarding best practice. The formative evaluation of the asthma kiosk demonstrates its ability to capture patient-specific data during real-time care in the emergency department (ED) with a mean completion time of 11 minutes. The asthma kiosk successfully links parents' data to guideline recommendations and identifies data critical to health improvements for asthmatic children that otherwise remains undocumented during ED-based care.

机译：作者报告了一种新型的以患者为中心的技术的开发和评估，该技术促进了对关键信息的捕获，这些信息是推动基于指南的小儿哮喘护理所必需的。该应用程序的设计，即哮喘亭，解决了以患者为中心的技术的五个关键问题，这些技术促进了基于指南的护理：（1）一种以患者为驱动力的数据捕获前端机制，（2）关于患者医疗专业知识的中立性和技术背景，（3）直接从患者那里获取药物数据的详细信息，（4）将患者水平的语义和哮喘指南联系起来的正式算法，以及（5）向患者和临床提供者提供有关最佳实践的输出。哮喘亭的形成性评估表明，它能够在急诊室（ED）的实时护理过程中捕获患者特定数据，平均完成时间为11分钟。哮喘信息亭成功地将父母的数据链接到指南建议，并识别出对改善哮喘儿童健康至关重要的数据，否则这些数据在基于ED的护理中仍然没有记录。

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期刊名称 Journal of the American Medical Informatics Association : JAMIA
作者
Stephen C. Porter; Zhaohui Cai; William Gribbons; Donald A. Goldmann; Isaac S. Kohane;
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年(卷),期 2004(11),6
年度 2004
页码 458–467
总页数 10
原文格式 PDF
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专利

1. The asthma kiosk: a patient-centered technology for collaborative decision support in the emergency department. [J] . Porter SC, Cai Z, Gribbons W, Journal of the American Medical Informatics Association : . 2004,第6期

机译：哮喘亭：一种以患者为中心的技术，可在急诊室提供协作决策支持。
2. Impact of Patient-Centered Decision Support on Quality of Asthma Care in the Emergency Department [J] . Donald A. Goldmann, Henry A. Feldman, Peter Forbes, Pediatrics: Official Publication of the American Academy of Pediatrics . 2006,第1期

机译：以患者为中心的决策支持对急诊科哮喘护理质量的影响
3. Patient-Centered Decision Support: Formative Usability Evaluation of Integrated Clinical Decision Support With a Patient Decision Aid for Minor Head Injury in the Emergency Department [J] . Edward R Melnick, Erik P Hess, George Guo, Journal of medical Internet research . 2017,第5期

机译：以患者为中心的决策支持：综合临床决策支持的形成可用性评估以及急诊科中轻微头部受伤的患者决策帮助
4. MET3-AE System to Support Management of Pediatric Asthma Exacerbation in the Emergency Department [C] . Szymon Wilk, Wojtek Michalowski, Ken Farion, MEDINFO . 2010

机译：MET3-AE系统支持急诊部儿科哮喘恶化的管理
5. Decision support for rapid assessment of truth and deception using automated assessment technologies and kiosk-based embodied conversational agents. [D] . Patton, Mark W. 2009

机译：使用自动评估技术和基于信息亭的具体对话代理，为快速评估真相和欺骗提供决策支持。
6. The 2016 Academic Emergency Medicine Consensus Conference Shared Decision-making in the Emergency Department: Development of a Policy-relevant Patient-centered Research Agenda Diagnostic Testing Breakout Session Report [O] . Tyler W. Barrett, Kristin L. Rising, M. Fernanda Bellolio, -1

机译：2016年学术急诊医学共识会议急诊科的共同决策：制定与政策相关的以患者为中心的研究议程诊断测试突破会议报告
7. The Asthma Kiosk: A Patient-centered Technology for Collaborative Decision Support in the Emergency Department [O] . Porter, Stephen C., Cai, Zhaohui, Gribbons, William, 2004

机译：哮喘病亭：以患者为中心的急诊科协作决策支持技术

The Asthma Kiosk: A Patient-centered Technology for Collaborative Decision Support in the Emergency Department

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