%0期刊文章%@ 2291- 9694% I JMIR出版物%V 10卡塔尔世界杯8强波胆分析% N 10% P e40511 %T警报的适当性和医生的反应与药物相关的临床决策支持系统:回顾性观察研究%A Park, hyjung %A Chae,Minjung Kathy %A Jeong, woohyun %A Yu,Jaeyong %A Jung,Weon %A Chang,Hansol %A Cha,Won Chul %+成均馆大学三星高级健康科学与技术研究所数字健康系，韩国首尔江南区Irwon-ro 81号，82 2 3410 2053，docchaster@gmail.com %K临床决策支持系统%K计算机化医生订单输入%K警报疲劳%K卫生人员%K决策支持%K医生行为%K医生响应%K警报系统%D 2022 %7 4.10.2022 %9原始论文%J JMIR Med Inform %G英文%X背景:当响应少量有用警报而生成许多无关警报时，警报疲劳是不可避免的。了解医生的反应是提高临床决策支持系统(CDSS)有效性的必要条件。目的:本研究旨在通过评估与药物相关的被动警报系统中警报的临床适当性和相应的医生的反应，了解CDSS和医生行为。方法:对医嘱、警示、患者电子病历资料进行分析。分析的数据是在2019年8月至2020年6月期间产生的，当时患者在急诊科。我们评估了382例警报的适当性和医生的反应，并对它们进行了分类。结果:382例警报病例中，只有7.3% (n=28)的警报是临床适当的。关于医生对警报反应的适当性，92.4% (n=353)被认为是适当的。 In the classification of alerts, only 3.4% (n=13) of alerts were successfully triggered, and 2.1% (n=8) were inappropriate in both alert clinical relevance and physician’s response. In this study, the override rate was 92.9% (n=355). Conclusions: We evaluated the appropriateness of alerts and physicians’ responses through a detailed medical record review of the medication-related passive alert system. An excessive number of unnecessary alerts are generated, because the algorithm operates as a rule base without reflecting the individual condition of the patient. It is important to maximize the value of the CDSS by comprehending physicians’ responses. %M 36194461 %R 10.2196/40511 %U https://medinform.www.mybigtv.com/2022/10/e40511 %U https://doi.org/10.2196/40511 %U http://www.ncbi.nlm.nih.gov/pubmed/36194461