%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 11% P e38483% T在肿瘤环境中管理危重患者报告的结果测量:系统开发和回顾性研究%A Strachna,Olga %A Asan,Onur %A Stetson,Peter D %+系统和企业学院，史蒂文斯理工学院，1城堡露台，霍博肯，新泽西州，07030，美国，1 201 216 5514，oasan@stevens.edu %K患者报告结果测量%K医疗保健交付%K自我报告%K护理质量%K肿瘤%K调查和问卷%K临床决策支持系统%D 2022 %7 3.11.2022 %9原始论文%J JMIR Med Inform %G英文%X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。我们使用参与式设计和个人、任务和技术框架之间的匹配来评估这些新功能。结果:利用警示特征共实施8份问卷，警示率为7.82%(36,838/470,841)，其中13.28%(10,965/82,544)的患者触发了至少一次警示。来自191个护理团队的501名工作人员审查了警报。在标准工作时间内，所有警报的响应时间中位数为1小时(标准差185小时)。 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. %M 36326801 %R 10.2196/38483 %U https://medinform.www.mybigtv.com/2022/11/e38483 %U https://doi.org/10.2196/38483 %U http://www.ncbi.nlm.nih.gov/pubmed/36326801