کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6926486 1449079 2018 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: A retrospective study
ترجمه فارسی عنوان
اثربخشی یک سیستم پشتیبانی بالینی دانش برای کاهش اشتباهات تشخیصی در مراقبت های سرپایی در ژاپن: یک مطالعه گذشته نگر
کلمات کلیدی
خطای تشخیصی سیستم پشتیبانی بالینی دانش، نظریه پردازش دوگانه،
موضوعات مرتبط
مهندسی و علوم پایه مهندسی کامپیوتر نرم افزارهای علوم کامپیوتر
چکیده انگلیسی
Clinical evidence has indicated the effectiveness of computer-based systems for preventing and reducing diagnostic errors. Our study aimed to evaluate the effectiveness of UpToDate, a computer-based clinical knowledge management system, for reducing diagnostic errors. We retrospectively identified 100 patients who visited an outpatient department in a community-based hospital from July 2014 to June 2015. Fifty patients (exposure group) were seen by UpToDate-equipped physicians and another 50 (control group) were seen by UpToDate-unequipped physicians. We extracted data on patient sex, age, primary diagnosis, and case difficulty that could potentially affect diagnostic outcomes. We compared the two groups regarding diagnostic error rate and performed logistic regression analysis to analyze the concurrent effects of various factors affecting diagnostic error. The diagnostic error rate was 2% in the exposure group, while the error rate was 24% in the control group. Multivariate logistic regression analysis showed that error rate reduction was significantly associated with exposure to UpToDate with an odds ratio of 15.21 (95% CI 1.86-124.36). Our results demonstrated the effectiveness of UpToDate for the prevention and reduction of diagnostic error.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Medical Informatics - Volume 109, January 2018, Pages 1-4
نویسندگان
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