适应数字时代的临床指南:整体和多学科方法综述。

IF 1 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES American Journal of Medical Quality Pub Date : 2023-09-01 Epub Date: 2023-09-05 DOI:10.1097/JMQ.0000000000000138
Maria Michaels
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引用次数: 0

摘要

疾病控制和预防中心的“适应数字时代的临床指南”倡议旨在重新设计和改进指南的制定、实施和标准化。从历史上看,准则制定和实施的各个方面都是孤立的。这导致指南到达患者护理的滞后时间很长,不必要的冗余,以及潜在的误解,导致建议的应用方式不一致。一种多学科、多组织的整体方法将指南制定、信息学、沟通、实施和评估方面的专家聚集在一起,以了解和识别指南制定和实施中的问题,定义一个没有限制的理想状态,然后设计一个使过程接近理想状态的未来状态。数字时代适应临床指南各工作组专注于一个重点领域,并包括其他领域的专家,以帮助分析当前状态并为未来状态制定整体解决方案。每个工作组都制定了相互关联的标准、流程和工具,可用于指导方针的制定和实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Adapting Clinical Guidelines for the Digital Age: Summary of a Holistic and Multidisciplinary Approach.

The Centers for Disease Control and Prevention's Adapting Clinical Guidelines for the Digital Age initiative aims to redesign and improve guideline development, implementation, and standardization. Historically, aspects of guideline development and implementation have been siloed. This leads to long lag times for guidelines to reach patient care, unnecessary redundancy, and potential for misinterpretation, leading to inconsistencies in how the recommendations are applied. A multidisciplinary, multiorganizational holistic approach brought together experts in guideline development, informatics, communication, implementation, and evaluation to understand and identify problems in guideline development and implementation, define an ideal state with no constraints, and then design a future state that advances the process close to the ideal state. The Adapting Clinical Guidelines for the Digital Age workgroups each worked on one focus area and included experts from the other areas to help analyze the current state and develop holistic solutions for the future state. Each workgroup produced interrelated standards, processes, and tools that can be used across the continuum of guideline development and implementation.

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来源期刊
CiteScore
1.90
自引率
7.10%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The American Journal of Medical Quality (AJMQ) is focused on keeping readers informed of the resources, processes, and perspectives contributing to quality health care services. This peer-reviewed journal presents a forum for the exchange of ideas, strategies, and methods in improving the delivery and management of health care.
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