中华护理杂志 ›› 2020, Vol. 55 ›› Issue (3): 405-409.DOI: 10.3761/j.issn.0254-1769.2020.03.018
收稿日期:2019-07-17
出版日期:2020-03-15
发布日期:2020-03-20
通讯作者:
作者简介:徐亦虹:女,本科(硕士在读),E-mail:21818331@zju.edu.cn
基金资助:
Received:2019-07-17
Online:2020-03-15
Published:2020-03-20
摘要:
综述了护理决策支持系统,并从原始数据的获取和时间选择、系统算法局限性、知识库的术语标准化、人机交互能力、引入时机和成本问题6个方面探讨护理决策支持系统的局限性,并对其进行对策分析。
徐亦虹, 丁珊妮, 刘晓娜, 潘红英. 护理决策支持系统的局限性及对策[J]. 中华护理杂志, 2020, 55(3): 405-409.
| [1] | 国务院. 《国务院办公厅关于促进“互联网+医疗健康”发展的意见》国办发〔2018〕26号[EB/OL]. ( 2018-04-28)[2019-06-18].http://www. gov. cn/zhengce/content/2018-04/28/content_52866 45. htm. |
| [2] | 徐嘉琦, 毛靖, 李节 . 临床决策支持系统在护理学中的应用进展[J]. 护理学杂志, 2015,30(1):103-106. |
| [3] | 刘晓娜, 潘红英 . 护理决策支持系统的应用进展[J]. 中华护理杂志, 2018,53(6):735-739. |
| [4] | 郭金玉, 陈丽娜, 孙红 . 临床决策支持系统在急诊诊疗护理中的应用[J]. 中国护理管理, 2015,15(8):988-990. |
| [5] | 程建平, 史婷奇, 陆瑶 , 等. 基于临床决策支持系统电子护理文书质量控制录入系统的设计与应用[J]. 中国护理管理, 2018,18(7):958-961. |
| [6] | Ahamed T, Lederman R, Bosua R , et al. Towards a methodology for nursing-specific clinical decision support systems(CDSS)[J]. J Decis Syst, 2016,25(sup1):23-34. |
| [7] | Piscotty R, Kalisch B . Nurses’ use of clinical decision support:a literature review[J]. Comput Inform Nurs, 2014,32(12):562-568. |
| [8] | 杨丽, 周雪忠, 毕斓馨 , 等. 基于案例推理的中医临床诊疗决策支持系统[J]. 世界科学技术-中医药现代化, 2014,16(3):474-480. |
| [9] | Jenders RA . Advances in clinical decision support:highlights of practice and the literature 2015-2016[J]. Yearb Med Inform, 2017,26(1):125-132. |
| [10] | Mitchell N, Randell R, Foster R , et al. A national survey of computerized decision support systems available to nurses in England[J]. J Nurs Manag, 2009,17(7):772-780. |
| [11] | Borum C . Barriers for hospital-based nurse practitioners utilizing clinical decision support systems:a systematic review[J]. Comput Inform Nurs, 2018,36(4):177-182. |
| [12] | Yılmaz AA, Ozdemir L . Development and implementation of the clinical decision support system for patients with cancer and nurses’ experiences regarding the system[J]. Int J Nurs Knowl, 2017,28(1):4-12. |
| [13] | Dunn Lopez K, Gephart SM, Raszewski R , et al. Integrative review of clinical decision support for registered nurses in acute care settings[J]. J Am Med Inform Assoc, 2017,24(2):441-450. |
| [14] | Chen JH, Alagappan M, Goldstein MK , et al. Decaying relevance of clinical data towards future decisions in data-driven inpatient clinical order sets[J]. Int J Med Inform, 2017,102:71-79. |
| [15] | McParland CR, Cooper MA, Johnston B . Differential diagnosis decision support systems in primary and out-of-hours care:a qualitative analysis of the needs of key stakeholders in Scotland[J]. J Prim Care Community Health, 2019,10:215013271982931. |
| [16] | 井玲, 甘亢, 任景怡 . 临床决策支持系统在医疗质量管理中的应用[J]. 中日友好医院学报, 2017,31(5):301-303. |
| [17] | Wong A, Wright A, Seger D , et al. Comparison of overridden medication-related clinical decision support in the intensive care unit between a commercial system and a legacy system[J]. Appl Clin Inform, 2017,8(3):866-879. |
| [18] | Lee S. Features of computerized clinical decision support systems supportive of nursing practice:a literature review[J]. Comput Inform Nurs, 2013, 31(10):477-495;quiz 496-497. |
| [19] | Lugtenberg M, Weenink J, van der Weijden T, et al. Implementation of multiple-domain covering computerized decision support systems in primary care:a focus group study on perceived barriers[J]. BMC Med Inform Decis Mak, 2015,15:82. |
| [20] | Lugtenberg M, Pasveer D, van der Weijden T, et al. Exposure to and experiences with a computerized decision support intervention in primary care:results from a process evaluation[J]. BMC Fam Pract, 2015,16:141. |
| [21] | Lakshmanaprabu SK, Mohanty SN, Sheeba RS , et al. Online clinical decision support system using optimal deep neural networks[J]. Appl Soft Comput, 2019,81:105487. |
| [22] | Le Cun Y, Bengio Y, Hinton G . Deep learning[J]. Nature, 2015,521(7553):436-444. |
| [23] | Ortiz DR, Maia FOM, Ortiz DCF , et al. Computerized clinical decision support system utilization in nursing:a scoping review protocol[J]. JBI Database System Rev Implement Rep, 2017,15(11):2638-2644. |
| [24] | 刘霖, Amy Coenen, 陶红, 等 al. 国际护理术语分类体系发展概况及其对我国护理的启示[J]. 中华护理杂志, 2015,50(5):593-597. |
| [25] | 范英, 师秋霞 . 临床决策支持系统在护理评估中的应用[J]. 中国卫生质量管理, 2018,25(2):62-64. |
| [26] | Middleton B, Sittig DF, Wright A. Clinical decision support:a 25 year retrospective and a 25 year vision[J]. Yearb Med Inform, 2016,Suppl(1):S103-S116. |
| [27] | Vetter MJ . The influence of clinical decision support on diagnostic accuracy in nurse practitioners[J]. Worldviews Evid Based Nurs, 2015,12(6):355-363. |
| [28] | Choi J, Jansen K, Coenen A . Modeling a nursing guideline with standard terminology and unified modeling language for a nursing decision support system:a case study[J]. AMIA Annu Symp Proc, 2015,2015:426-433. |
| [29] | Liberati EG, Ruggiero F, Galuppo L , et al. What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation[J]. Implement Sci, 2017,12(1):113. |
| [30] | Ciqueto PH, de Almeida LMDC, Tellez M , et al. Usability testing of PROCEnf-USP:a clinical decision support system[J]. Stud Health Technol Inform, 2015,216:247-250. |
| [31] | 黄晨, 潘红英 . 信息护士岗位的设立及实践[J]. 中华护理杂志, 2017,52(5):546-548. |
| [32] | Keenan GM, Lopez KD, Yao Y , et al. Toward meaningful care plan clinical decision support:feasibility and effects of a simulated pilot study[J]. Nurs Res, 2017,66(5):388-398. |
| [33] | Dowding D, Mitchell N, Randell R , et al. Nurses’ use of computerised clinical decision support systems:a case site analysis[J]. J Clin Nurs, 2009,18(8):1159-1167. |
| [34] | Moja L, Liberati EG, Galuppo L , et al. Barriers and facilitators to the uptake of computerized clinical decision support systems in specialty hospitals:protocol for a qualitative cross-sectional study[J]. Implement Sci, 2014,9:105. |
| [35] | Cox CE, White DB, Abernethy AP . A universal decision support system. Addressing the decision-making needs of patients,families,and clinicians in the setting of critical illness[J]. Am J Respir Crit Care Med, 2014,190(4):366-373. |
| [36] | 尉俊铮, 王欣然, 王硕 , 等. 重症监护信息系统在临床决策支持方面的应用[J]. 护理研究, 2016,30(35):4458-4461. |
| [37] | Castilho V, Lima AF, Fugulin FM , et al. Total staff costs to implement a decision support system in nursing[J]. Rev Lat Am Enfermagem, 2014,22(1):158-164. |
| [38] | 国家卫生计生委. 国家卫生计生委关于印发全国护理事业发展规划(2016-2020年)的通知[EB/OL]. ( 2016-11-24)[2019-05-24]. http://www. nhc. gov. cn/yzygj/s3593/201611/92b2e8f8cc644a899e9d0fd572aefef3.shtml. |
| [39] | Bookman K, West D, Ginde A , et al. Embedded clinical decision support in electronic health record decreases use of high-cost imaging in the emergency department:EmbED study[J]. Acad Emerg Med, 2017,24(7):839-845. |
| [40] | Chunmei R, Hualing H, Haihua Z . Design and application of nursing CDSS based on structured EMR[J]. Stud Health Technol Inform, 2018,250:238-239. |
| [1] | 黄盼盼, 李丽玲, 胡晓静. 先天性心脏病婴儿早期运动康复的研究进展[J]. 中华护理杂志, 2025, 60(9): 1050-1055. |
| [2] | 冉凌霄, 王东敏, 许珂, 王聪, 曹华, 寸薇, 蒋艳. 基于人体三维模型的生物力学仿真在压力性损伤预防中应用的范围综述[J]. 中华护理杂志, 2025, 60(8): 1012-1018. |
| [3] | 靳雨佳, 江湖, 王晓萱, 易景娜, 梅永霞, 郭芝廷, 张振香, 林蓓蕾. 信息化风险沟通在心血管疾病一级预防中应用的范围综述[J]. 中华护理杂志, 2025, 60(8): 1019-1025. |
| [4] | 姜珊, 郭彩霞, 郭立华, 赵媛媛, 肖蒙, 杨依玲, 魏春艳, 李硕, 刘殿媛, 尚志丽. 外周静脉留置针并发症风险管理系统的开发与应用[J]. 中华护理杂志, 2025, 60(8): 908-913. |
| [5] | 冯伟清, 陈研博, 蔡洹, 阮嘉慧, 何秀娴, 李琨. 卒中后疲劳纵向研究的范围综述[J]. 中华护理杂志, 2025, 60(7): 799-805. |
| [6] | 周楠, 智诗涵, 王萌, 张惠, 张丽红, 罗茂语, 何瑛, 顾炜. 性功能障碍干预在宫颈癌患者中应用的范围综述及护理启示[J]. 中华护理杂志, 2025, 60(7): 890-897. |
| [7] | 黄真真, 隋伟静, 董婧, 张君如, 张楚楚, 周泓廷, 张佳宇, 张娜, 庄一渝. 眼动追踪在ICU言语不能患者中应用的范围综述[J]. 中华护理杂志, 2025, 60(6): 757-763. |
| [8] | 李海娇, 魏栋帅, 王锐炎, 刘荣勋, 张超峰, 贾杰, 位彦鸽. 音乐干预在精神疾病患者康复护理中的应用进展[J]. 中华护理杂志, 2025, 60(6): 764-768. |
| [9] | 付琴, 张秀敏, 侯铭, 王彩虹, 李晓梅, 茆永琴, 李萍. 智能化体感运动在老年慢性阻塞性肺疾病患者居家肺康复中的效果评价[J]. 中华护理杂志, 2025, 60(5): 517-524. |
| [10] | 田思颖, 常红. 即时适配干预在慢性病患者久坐与身体活动中应用的研究进展[J]. 中华护理杂志, 2025, 60(5): 619-623. |
| [11] | 梁轶岚, 姜伟, 何小爽, 王婷, 吕亚旎. 症状科学模型在慢性肾脏疾病患者中的研究进展及护理启示[J]. 中华护理杂志, 2025, 60(5): 624-628. |
| [12] | 伍慧霞, 成彗芳, 黄珊珊, 黄远思, 刘翔宇. 视觉技术在慢性病患者负性情绪评估中的应用进展[J]. 中华护理杂志, 2025, 60(5): 635-641. |
| [13] | 任雅钰, 高春华, 卢芳燕, 郑力, 王华芬. 虚拟现实技术在癌症患者心理干预中应用的范围综述[J]. 中华护理杂志, 2025, 60(4): 486-492. |
| [14] | 荆舒, 戴振威, 苏小游, 李峥. 群医学理念在护理实践中的应用及启示[J]. 中华护理杂志, 2025, 60(4): 493-498. |
| [15] | 卓红霞, 雷雨洁, 欧阳斌, 许景灿, 彭淑怡, 韩辉武. 糖尿病患者糖代谢指标潜类别轨迹分析的范围综述[J]. 中华护理杂志, 2025, 60(4): 499-506. |
| 阅读次数 | ||||||
|
全文 |
|
|||||
|
摘要 |
|
|||||
