@文章{信息:doi/10.2196/38483，作者=“Strachna, Olga和Asan, Onur和Stetson, Peter D”，标题=“肿瘤环境中管理严重患者报告的结果测量:系统开发和回顾性研究”，期刊=“JMIR Med Inform”，年份=“2022”，月份=“11月”，日期=“3”，卷=“10”，数量=“11”，页=“e38483”，关键词=“患者报告的结果测量;提供保健服务;自我报告;护理质量;肿瘤;调查和问卷;背景:基于收集患者报告结果(PRO)数据的远程监测程序正在肿瘤学实践中越来越多地采用。虽然PRO是患者数据的重要来源，但文献中没有详细讨论关键PRO数据的管理。目的:这项史无前例的研究旨在设计、描述和评估一个闭环警报和通信系统，专注于管理癌症护理中的pro相关警报。方法:通过增量构建新功能，我们使用敏捷软件开发方法设计并开发了一种新的解决方案。 We evaluated these new features using participatory design and the Fit between Individuals, Task, and Technology framework. Results: A total of 8 questionnaires were implemented using alerting features, resulting in an alert rate of 7.82{\%} (36,838/470,841) with 13.28{\%} (10,965/82,544) of the patients triggering at least one alert. Alerts were reviewed by 501 staff members spanning across 191 care teams. All the alerts were reviewed with a median response time of 1 hour (SD 185 hours) during standard business hours. The most severe (red) alerts were documented 56.83{\%} (2592/4561) of the time, whereas unlabeled alerts were documented 27.68{\%} (1298/4689) of the time, signaling clinician concordance with the alert thresholds. Conclusions: A PRO-based alert and communication system has some initial benefits in reviewing clinically meaningful PRO data in a reasonable amount of time. We have discussed key system design considerations, workflow integration, and the mitigation of potential impact on the burden of care teams. The introduction of a PRO-based alert and communication system provides a reliable mechanism for care teams to review and respond to patient symptoms quickly. The system was standardized across many different oncology settings, demonstrating system flexibility. Future studies should focus on formally evaluating system usability through qualitative methods. ", issn="2291-9694", doi="10.2196/38483", url="https://medinform.www.mybigtv.com/2022/11/e38483", url="https://doi.org/10.2196/38483", url="http://www.ncbi.nlm.nih.gov/pubmed/36326801" }