Using Medical Informatics Principles to Enhance Development and Dissemination of

利用医学信息学原理促进医学信息学的开发和传播

基本信息

批准号：
7886939
负责人：
Robert Matthew Plovnick
金额：
$ 14.95万
依托单位：
AMERICAN PSYCHIATRIC ASSOC FOUNDATION
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-07-15 至 2013-07-14
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7886939
关键词：
Address Adopted Algorithms American American Psychiatric Association Area Books Caring Clinical Clinical Practice Guideline Clinical Research Databases Development Disease Education Educational process of instructing Electronic Health Record Electronics Environment Evaluation Evidence Based Medicine Goals Grant Guidelines High Prevalence Impairment Informatics Information Retrieval Information Sciences Link Literature Major Depressive Disorder Medical Medical Informatics Medical Research Medicine Mental Depression Mental disorders Online Systems Outcome Patient Care Patients Physicians Practice based research Primary Health Care Psychiatrist Public Health Publications Publishing Quality of Care Reading Recommendation Records Research Research Infrastructure Research Institute Research Support Resources Societies Structure Surveys System Technology Testing Time Training Translations United States United States National Library of Medicine Update clinical practice clinically relevant design disability evidence base evidence based guidelines flexibility improved medical specialties mortality novel physical conditioning point of care relational database research study response text searching tool usability working group

项目摘要

DESCRIPTION (provided by applicant): This proposal describes a 3-year project by the American Psychiatric Institute for Research and Education to use medical informatics principles to enhance the development and dissemination of evidence-based clinical practice guidelines for the treatment of patients with major depressive disorder, an illness with significant public health consequences. Clinical practice guidelines developed and published by many medical specialty organizations, synthesize available evidence and recommend specific treatments or practices, with the ultimate goal of improving patient outcomes and quality of care. Clinicians may not use guidelines, however, if the contents are not up-to-date or if the guidelines are not easy to access and understand at the point of care within a busy clinical environment. Both problems are liabilities of guidelines developed using a traditional narrative information structure. Under this proposal, published research studies on the treatment of depression will be collected, evaluated, and organized within a relational database. Within the same database, modules of practice recommendations will next be developed each focused on a clinical question with potential impact on quality. Modules will also provide discussion and links to the supporting evidence. The clinical information needs of psychiatrists who treat patients with major depressive disorder will be evaluated using an established practice research network. Results will inform the design of a database-driven Web-based system with enhanced search functionality for publication of the guideline modules. The usability of the system will undergo iterative user testing and improvement. If successful, this development approach and the publication technology may be implemented for guidelines on other psychiatric disorders and may be replicated by other guideline developers, enhancing the translation of medical research into clinical practice.

描述（由申请人提供）：该提案描述了美国精神病学研究所的一项为期3年的项目，以使用医学信息学原则来增强对循证临床实践指南的发展和传播，以治疗患有重大抑郁症的患者，这是一种重大的公共卫生后果。临床实践指南由许多医学专业组织制定和出版，合成可用证据并推荐特定的治疗方法或实践，最终目的是改善患者的结果和护理质量。但是，临床医生可能不会使用指南，但是，如果内容不是最新的，或者在繁忙的临床环境中，指南不容易访问和理解。这两个问题都是使用传统叙事信息结构制定的准则的负债。根据该提案，将在关系数据库中收集，评估和组织有关抑郁症治疗的已发表研究。在同一数据库中，接下来将开发实践建议的模块，每个都集中在一个临床问题上，潜在地影响质量。模块还将提供与支持证据的讨论和链接。将使用既定的实践研究网络评估治疗重度抑郁症患者的精神科医生的临床信息需求。结果将为基于数据库驱动的Web系统的设计提供信息，并具有增强的搜索功能，以发布指南模块。系统的可用性将经过迭代用户测试和改进。如果成功，则可以针对其他精神疾病指南实施这种发展方法和出版技术，并可以由其他指南开发人员复制，从而增强医学研究对临床实践的翻译。