社区血液透析中心临床决策支持系统的全流程构建与应用

Whole-process construction and application of clinical decision support system in community hemodialysis center

目的:设计一种临床辅助决策支持系统用于社区血液透析中心的管理,并评价其应用效果。方法:构建临床辅助决策支持系统,该系统具备实时数据采集、智能预警、远程指导等技术特点。采用系统可用性问卷(PSSUQ)评价该系统的可用性及满意度,并比较实施该系统前后两组患者血液透析敏感质量指标。结果:在系统的评价中,PSSUQ单项题目平均得分及99%置信区间均低于平均数3.5分的分界点,单项题目平均得分和4个维度得分均低于PSSUQ最佳基准;实施后患者血液透析敏感指标均有不同程度的改善。结论:临床辅助决策系统具有较高的可用性及满意度,能够显著提升患者透析质量,减少不良事件的发生,具有良好的应用前景。

Objective To design a clinical assistant decision-making support system for the management of community hemodialysis centers and evaluate its application effect.Methods The clinical assistant decision-making support system was constructed,which had technical features such as real-time data collection,intelligent early warning,and remote guidance.The Post-study System Usability Questionnaire(PSSUQ)was used to evaluate the availability and satisfaction of the system,and the sensitive quality indicators of hemodialysis were compared between the two groups before and after implementing the system.Results In the systematic evaluation,the average score of single items and the 99%confidence interval of PSSUQ were all lower than the average cut-off point of 3.5,and the average score of single items and the score of four dimensions were all lower than the optimal PSSUQ benchmark.The hemodialysis sensitivity indexes of patients were improved to varying degrees after implementation.Conclusion The clinical assistant decision-making support system has high availability and satisfaction,can significantly improve dialysis quality,reduce the occurrence of adverse events,and has a good application prospect.