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首页> 美国卫生研究院文献>Journal of the American Medical Informatics Association : JAMIA >Translating Research into Practice: Organizational Issues in Implementing Automated Decision Support for Hypertension in Three Medical Centers
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Translating Research into Practice: Organizational Issues in Implementing Automated Decision Support for Hypertension in Three Medical Centers

机译：将研究转化为实践：在三个医疗中心实施针对高血压的自动决策支持的组织问题

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摘要

Information technology can support the implementation of clinical research findings in practice settings. Technology can address the quality gap in health care by providing automated decision support to clinicians that integrates guideline knowledge with electronic patient data to present real-time, patient-specific recommendations. However, technical success in implementing decision support systems may not translate directly into system use by clinicians. Successful technology integration into clinical work settings requires explicit attention to the organizational context. We describe the application of a “sociotechnical” approach to integration of ATHENA DSS, a decision support system for the treatment of hypertension, into geographically dispersed primary care clinics. We applied an iterative technical design in response to organizational input and obtained ongoing endorsements of the project by the organization's administrative and clinical leadership. Conscious attention to organizational context at the time of development, deployment, and maintenance of the system was associated with extensive clinician use of the system.
机译：信息技术可以支持在实践环境中实施临床研究结果。技术可以通过向临床医生提供自动决策支持来解决医疗保健中的质量差距，该支持将指南知识与电子患者数据相集成，以提供针对患者的实时实时建议。但是，在实施决策支持系统方面的技术成功可能无法直接转化为临床医生对系统的使用。成功地将技术集成到临床工作环境中需要明确关注组织环境。我们描述了一种“社会技术”方法将ATHENA DSS（一种用于治疗高血压的决策支持系统）整合到地理位置分散的初级保健诊所中的应用。我们根据组织的输入进行了迭代的技术设计，并得到了组织的行政和临床领导的不断认可。在开发，部署和维护系统时，对组织环境的自觉关注与临床医生对该系统的广泛使用相关。

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