TY -非盟的马丁·鲁伊兹玛丽亚·路易萨盟,瓦莱罗能源Duboy Miguel Angel盟——托克尔Loriente卡门AU -加索尔de la Cruz,伊凡PY - 2014 DA - 2014/05/28 TI -评估基于web的临床决策支持系统在幼儿园语言障碍筛查地中海乔- J互联网Res SP - e139六世16 - 5 KW -初级卫生保健KW -卫生信息系统KW -知识管理KW -评价KW -早期诊断KW -电子健康KW -语言障碍AB -背景:早期和有效地识别儿童发育障碍仍然是国际社会的一项关键任务。儿童常见发育障碍中患病率第二高的是语言发育迟缓，这通常是一种可能障碍的首要症状。目的:本文评估了基于web的临床决策支持系统(CDSS)，其目的是加强幼儿园语言障碍的筛查。语言障碍的早期诊断普遍缺乏，这导致我们部署了一种易于使用的CDSS，以评估其在语言疾病早期检测中的准确性。儿科医生可以使用这个CDSS来支持初级保健中语言障碍的筛查。方法:对一所有146名儿童、12名教育工作者和1名语言治疗师的幼儿园进行“加德斯”CDSS评价。该方法包括两个连续的阶段。第一阶段是由教育工作者对每个孩子的语言能力进行观察，以便语言治疗师对语言习得水平进行评估。接下来，同一位语言治疗师评估观察结果的可靠性。 Results: The Gades CDSS was integrated to provide the language therapist with the required clinical information. The validation process showed a global 83.6% (122/146) success rate in language evaluation and a 7% (7/94) rate of non-accepted system decisions within the range of children from 0 to 3 years old. The system helped language therapists to identify new children with potential disorders who required further evaluation. This process will revalidate the CDSS output and allow the enhancement of early detection of language disorders in children. The system does need minor refinement, since the therapists disagreed with some questions from the CDSS knowledge base (KB) and suggested adding a few questions about speech production and pragmatic abilities. The refinement of the KB will address these issues and include the requested improvements, with the support of the experts who took part in the original KB development. Conclusions: This research demonstrated the benefit of a Web-based CDSS to monitor children’s neurodevelopment via the early detection of language delays at a nursery school. Current next steps focus on the design of a model that includes pseudo auto-learning capacity, supervised by experts. SN - 1438-8871 UR - //www.mybigtv.com/2014/5/e139/ UR - https://doi.org/10.2196/jmir.3263 UR - http://www.ncbi.nlm.nih.gov/pubmed/24870413 DO - 10.2196/jmir.3263 ID - info:doi/10.2196/jmir.3263 ER -