Clinical decision support and electronic interventions to improve care quality in chronic liver diseases and cirrhosis.

IF 12.9 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Hepatology Pub Date : 2025-04-01 Epub Date: 2023-08-23 DOI:10.1097/HEP.0000000000000583
Jin Ge, Valy Fontil, Sara Ackerman, Mark J Pletcher, Jennifer C Lai
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Abstract

Significant quality gaps exist in the management of chronic liver diseases and cirrhosis. Clinical decision support systems-information-driven tools based in and launched from the electronic health record-are attractive and potentially scalable prospective interventions that could help standardize clinical care in hepatology. Yet, clinical decision support systems have had a mixed record in clinical medicine due to issues with interoperability and compatibility with clinical workflows. In this review, we discuss the conceptual origins of clinical decision support systems, existing applications in liver diseases, issues and challenges with implementation, and emerging strategies to improve their integration in hepatology care.

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临床决策支持和电子干预,提高慢性肝病和肝硬化的护理质量。
慢性肝病和肝硬化的治疗在质量上存在很大差距。临床决策支持系统--基于电子病历并由其启动的信息驱动型工具--是一种极具吸引力且具有潜在可扩展性的前瞻性干预措施,有助于实现肝病临床治疗的标准化。然而,由于互操作性和与临床工作流程的兼容性问题,临床决策支持系统在临床医学中的表现参差不齐。在这篇综述中,我们将讨论临床决策支持系统的概念起源、肝病领域的现有应用、实施过程中的问题和挑战,以及改善其在肝病治疗中的整合的新兴策略。
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来源期刊
Hepatology
Hepatology 医学-胃肠肝病学
CiteScore
27.50
自引率
3.70%
发文量
609
审稿时长
1 months
期刊介绍: HEPATOLOGY is recognized as the leading publication in the field of liver disease. It features original, peer-reviewed articles covering various aspects of liver structure, function, and disease. The journal's distinguished Editorial Board carefully selects the best articles each month, focusing on topics including immunology, chronic hepatitis, viral hepatitis, cirrhosis, genetic and metabolic liver diseases, liver cancer, and drug metabolism.
期刊最新文献
Clinical decision support and electronic interventions to improve care quality in chronic liver diseases and cirrhosis. The rapidly evolving landscape of HCC: Selecting the optimal systemic therapy. Mesenchymal stem cells alleviate mouse liver fibrosis by inhibiting pathogenic function of intrahepatic B cells. Comprehensive profiling of lipid metabolic reprogramming expands precision medicine for HCC. A novel phosphodiesterase inhibitor for the treatment of chronic liver injury and metabolic diseases.
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