Spread the Word: Integrating Clinical Prediction Rules at the Point of Care

传播信息：在护理点整合临床预测规则

基本信息

批准号：
8811447
负责人：
THOMAS G MCGINN
金额：
$ 29.99万
依托单位：
FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-03-01 至 2017-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8811447
关键词：
Spread Word Integrating Clinical Prediction

项目摘要

DESCRIPTION (provided by the applicant): Researchers and clinicians have vigorously researched evidence-based medicine (EBM) practices and have attempted to embed these guidelines into care, yet few have succeeded in the integrating EBM at the point of care. Challenges to integration include the disruption to clinical workflow, complex guidelines that are tedious to memorize, and over triggering of clinical reminders in electronic health records (EHR). Dr. McGinn is a pioneer and a leader and during his AHRQ funded research study, he created an innovative integrated clinical prediction rules (iCPRs) into the EHR, which led to high rates of provider utilization and significant declines in inappropriate antibiotic and diagnostic tst ordering. The large success was a result of thorough pilot and usability testing to determine the best method for incorporating the tool into clinical workflow. Leveraging on Dr. McGinn's expertise in integrating CPR into care, this grant will allow him to develop a team of experts in EBM, informatics, usability testing and integration of CPRs and provide additional resources in establishing an innovative usability lab. In addition to the usability team, we will build an executive advisory board, consisting of international and national experts in EBM and NSLlJ's EBM department. The EAB will attend monthly conference calls to provide feedback on the usability lab's work and insight on their work on dissemination and integration of EBM. We intend to target our services to NSLlJ's hospitals who serve minority communities who are underinsured, specifically Southside, Forest Hills and LU hospitals. The team's focus will be to incorporate the usability science to North Shore-LIJ's (NSLIJ) current efforts in EBM and work with community practices in selecting, tailoring and integrating CPRs at the point of care with the aims of 1) Creating an iCPR integration team who will work with community practices and hospitals to implement validated CPRs at point of care, 2) Increasing use of EBM point of care tools among community practices and hospital physicians, and 3) Creating a sustainable model for disseminating EBM to clinical practices by leveraging on the current efforts of NSLlJ's EBM department and community health organizations.

描述（由申请人提供）：研究人员和临床医生已经大力研究了循证医学（EBM）的做法，并试图将这些准则嵌入到护理中，但在护理点上，很少有成功的EBM成功。集成的挑战包括对临床工作流程的中断，繁琐的记忆的复杂准则以及对电子健康记录（EHR）中临床提醒的过度触发。 McGinn博士是一名先驱和领导者，在他的AHRQ资助研究中，他在EHR中创建了创新的综合临床预测规则（ICPRS），这导致了提供者利用率的高率，并且在不适当的抗生素和诊断TSTOROTIC TSTORESIND中的不适当下降。巨大的成功是彻底的试点和可用性测试，以确定将该工具纳入临床工作流程中的最佳方法。利用麦金博士在将心肺复苏术融入护理中的专业知识，这项赠款将使他能够在EBM，信息学，可用性测试和集成CPR的专家团队中建立一支专家，并为建立创新的可用性实验室提供更多资源。除了可用性团队外，我们还将建立一个执行顾问委员会，由EBM和NSLLJ的EBM部门的国际和国家专家组成。 EAB将每月举行电话会议，以提供有关可用性实验室工作的反馈，并了解他们在EBM的传播和整合方面的工作。我们打算将服务定位于NSLLJ的医院，这些医院为投保不足的少数民族社区提供服务，尤其是Southside，Forest Hills和Lu Hospitals。该团队的重点将是将可用性科学纳入北岸-lij（NSLIJ）当前在EBM中的努力，并与社区实践合作，在选择，量身定制和整合CPR的社区实践中与1）创建ICPR整合团队的目标，他们将在社区实践中与社区实践和医院的使用，并在CPRS上实施CPR，并在CPRS上实施CPR，2）在CART上，2）），2）），2）），2）），2））通过利用NSLLJ的EBM部门和社区卫生组织的当前努力来将EBM传播到临床实践的可持续模型。

项目成果

期刊论文数量（9）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Usability Testing of a Complex Clinical Decision Support Tool in the Emergency Department: Lessons Learned.

DOI：
10.2196/humanfactors.4537
发表时间：
2015-09-10
期刊：
JMIR human factors
影响因子：
2.7
作者：
Press A;McCullagh L;Khan S;Schachter A;Pardo S;McGinn T
通讯作者：
McGinn T

Formative assessment and design of a complex clinical decision support tool for pulmonary embolism.

DOI：
10.1136/ebmed-2015-110214
发表时间：
2016-02-01
期刊：
Evidence-based medicine
影响因子：
0
作者：
Khan, Sundas;McCullagh, Lauren;McGinn, Thomas
通讯作者：
McGinn, Thomas

THE HIGH COST OF LOW VALUE CARE.

低价值护理的高成本。

DOI：
发表时间：
2019
期刊：
Transactions of the American Clinical and Climatological Association
影响因子：
0
作者：
McGinn,Thomas;Cohen,Stuart;Khan,Sundas;Richardson,Safiya;Oppenheim,Michael;Wang,Jason
通讯作者：
Wang,Jason

A Computerized Method for Measuring Computed Tomography Pulmonary Angiography Yield in the Emergency Department: Validation Study.

急诊科测量计算机断层扫描肺血管造影产量的计算机化方法：验证研究。

DOI：
10.2196/medinform.9957
发表时间：
2018
期刊：
JMIR medical informatics
影响因子：
3.2
作者：
Richardson,Safiya;Solomon,Philip;O'Connell,Alexander;Khan,Sundas;Gong,Jonathan;Makhnevich,Alex;Qiu,Guang;Zhang,Meng;McGinn,Thomas
通讯作者：
McGinn,Thomas

Deciding whether to screen for abusive head trauma: do we need a clinical decision rule?

决定是否筛查虐待性头部创伤：我们是否需要临床决策规则？