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A Systematic Review of the Literature on Multidisciplinary Rounds to Design Information Technology

机译:系统研究设计信息技术多学科研究的文献

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摘要

Multidisciplinary rounds (MDR) have become important mechanisms for communication and coordination of care. To guide design of tools supporting MDR, we reviewed the literature published from 1990 to 2005 about MDR on information tools used, information needs, impact of information tools, and evaluation measures. Fifty-one papers met inclusion criteria and were included. In addition to patient-centric information tools (e.g., medical chart) and decision-support tools (e.g., clinical pathway), process-oriented tools (e.g., rounding list) were reported to help with information organization and communication. Information tools were shown to improve situation awareness of multidisciplinary care providers, efficiency of MDR, and length of stay. Communication through MDR may be improved by process-oriented information tools that help information organization, communication, and work management, which could be achieved through automatic extraction from clinical information systems, displays and printouts in condensed forms, at-a-glance representations of the care unit, and storing work-process information temporarily.
机译:多学科轮诊(MDR)已成为沟通和协调护理的重要机制。为了指导支持MDR的工具的设计,我们回顾了1990年至2005年出版的有关MDR的文献,这些文献涉及所使用的信息工具,信息需求,信息工具的影响和评估措施。符合纳入标准的论文51篇,被纳入。除了以患者为中心的信息工具(例如病历)和决策支持工具(例如临床途径)外,还报告了以过程为导向的工具(例如四舍五入列表),以帮助进行信息组织和沟通。信息工具被证明可以提高多学科护理提供者的状况意识,耐多药治疗的效率和住院时间。通过面向过程的信息工具可以改善通过MDR进行的交流,这些信息工具可以帮助信息的组织,交流和工作管理,可以通过从临床信息系统中自动提取,以简明形式进行显示和打印输出,对这些信息的概览来实现。护理单元,并临时存储工作过程信息。

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