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首页> 外文期刊>JMIR Medical Informatics >A Clinical Decision Support System (KNOWBED) to Integrate Scientific Knowledge at the Bedside: Development and Evaluation Study
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A Clinical Decision Support System (KNOWBED) to Integrate Scientific Knowledge at the Bedside: Development and Evaluation Study

机译：临床决策支持系统（知识主），在床边融合科学知识：发展与评估研究

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Background The evidence-based medicine (EBM) paradigm requires the development of health care professionals’ skills in the efficient search of evidence in the literature, and in the application of formal rules to evaluate this evidence. Incorporating this methodology into the decision-making routine of clinical practice will improve the patients’ health care, increase patient safety, and optimize resources use. Objective The aim of this study is to develop and evaluate a new tool (KNOWBED system) as a clinical decision support system to support scientific knowledge, enabling health care professionals to quickly carry out decision-making processes based on EBM during their routine clinical practice. Methods Two components integrate the KNOWBED system: a web-based knowledge station and a mobile app. A use case (bronchiolitis pathology) was selected to validate the KNOWBED system in the context of the Paediatrics Unit of the Virgen Macarena University Hospital (Seville, Spain). The validation was covered in a 3-month pilot using 2 indicators: usability and efficacy. Results The KNOWBED system has been designed, developed, and validated to support clinical decision making in mobility based on standards that have been incorporated into the routine clinical practice of health care professionals. Using this tool, health care professionals can consult existing scientific knowledge at the bedside, and access recommendations of clinical protocols established based on EBM. During the pilot project, 15 health care professionals participated and accessed the system for a total of 59 times. Conclusions The KNOWBED system is a useful and innovative tool for health care professionals. The usability surveys filled in by the system users highlight that it is easy to access the knowledge base. This paper also sets out some improvements to be made in the future.
机译：背景技术基于证据的医学（EBM）范式需要在有效地寻求文学中的证据中的有效寻求医疗保健专业人员的技能，以及在适用正式规则中来评估这一证据。将该方法纳入临床实践的决策程序将改善患者的医疗保健，提高患者安全性，并优化资源使用。目的本研究的目的是开发和评估新工具（知识系统）作为临床决策支持系统，以支持科学知识，使医疗保健专业人员能够在常规临床实践期间快速执行基于EBM的决策过程。方法两种组件集成了知识系统：基于Web的知识站和移动应用程序。选择用例（支气管炎病理学）在Virgen MacArena University医院（西班牙塞维利亚塞维利亚）的上下文中验证知识系统。使用2个指标的3个月试点介绍了验证：可用性和功效。结果专业知识系统已经设计，开发，验证，以支持基于常规临床实践的标准来支持流动性的临床决策。使用此工具，医疗保健专业人员可以在床边咨询现有的科学知识，并获得基于EBM建立的临床协议的建议。在试点项目期间，15名医疗保健专业人员参加并获得了该系统，共计59次。结论知识系统是医疗保健专业人员有用而创新的工具。系统用户填充的可用性调查突出显示它很容易访问知识库。本文还提出了未来的一些改进。

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