Clinical pathways on a mobile device
| العنوان: | Clinical pathways on a mobile device |
|---|---|
| المؤلفون: | Susan G. Silva, Michael E. Zychowicz, Barbara S. Turner, John P. Barrett |
| المصدر: | BMJ Evidence-Based Medicine. 25:131-137 |
| بيانات النشر: | BMJ, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Process management, Evidence-based practice, Adolescent, Computer science, Future application, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Software, Chart, Humans, 030212 general & internal medicine, Child, Point of care, business.industry, 030503 health policy & services, General Medicine, Mobile Applications, Variety (cybernetics), Computers, Handheld, Scale (social sciences), Critical Pathways, Feasibility Studies, 0305 other medical science, business, Mobile device |
| الوصف: | Clinical pathways have been successfully implemented in the primary care setting in New Zealand, Australia and the UK. Despite wide adoption and decreased costs, these pathways have yet to translate evidence into clinical practice while also saving providers time—an important barrier for the translation of evidence at the point of care. The goal of this project was to determine if future development of a point-of-care mobile application should be undertaken with design principles using the theoretical framework of Hick’s law. Three new-to-practice providers participated in three plan-do-study-act cycles using these pathways installed on mobile devices to determine if they were a feasible, efficient and useful method to implement evidence. The project was a success with all three participants wishing to continue using the pathways after project completion. Participants felt the digital clinical pathways were the next evolution of the popular UpToDate software platform and helped them apply the latest evidence better than other available tools. While these results are promising, there were also limitations. Participants felt the lack of chart integration coupled with time constraints made full integration challenging and suggested launching the platform using a variety of delivery systems. The project’s findings suggest that future application development using the developed design principles would be worth further consideration. If this mobile application ultimately proved successful, the application framework could be implemented on a larger scale, thus improving patient outcomes and saving providers time. |
| تدمد: | 2515-4478 2515-446X |
| DOI: | 10.1136/bmjebm-2019-111234 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bb48c8ba5a11a8aee194875be80651be https://doi.org/10.1136/bmjebm-2019-111234 |
| رقم الانضمام: | edsair.doi.dedup.....bb48c8ba5a11a8aee194875be80651be |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 25154478 2515446X |
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| DOI: | 10.1136/bmjebm-2019-111234 |