Design and development of clinical decision support system for unplanned extubation
10.3760/cma.j.cn211501-20200701-02966
- VernacularTitle:非计划性拔管临床决策支持系统的设计与研发
- Author:
Keyu CHEN
;
Zirong TONG
;
Zejuan GU
;
Rong WANG
;
Zheng LIN
;
Yuan ZHOU
;
Xiaotong CAO
;
Shuangshuang XING
;
Caoyuan WANG
;
Lixia XIA
;
Lei YANG
- From:
Chinese Journal of Practical Nursing
2021;37(15):1128-1133
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To design and develop an unplanned extubation clinical decision support system, aiming to provide a reference for nurses' clinical decision-making.Methods:Through literature review and expert consultation, the knowledge base of the clinical decision support system for unplanned extubation was constructed, and the system function and interface were designed.Results:The authoritative coefficients of the two rounds of expert consultation were 0.853 and 0.867, respectively, and the Kendall ′s W were 0.458 and 0.492, respectively. The final built knowledge base included catheter evaluation module, unplanned extubation evaluation module, and knowledge reasoning rule module. At present, the knowledge base had sorted out 48 first-level items, 9 second-level items, 72 third-level items in the catheter evaluation module, and 5 first-level items, 12 second-level items, and 73 third-level items in the unplanned extubation evaluation module. Entry, 40 knowledge reasoning rules. Conclusions:The clinical decision-making system for unplanned extubation has changed the implementation of unplanned extubation risk early warning, optimized the management process, and realized the interaction of the hospital system. It can conduct dynamic unplanned extubation risk assessment based on individualization and assist nurses Make clinical decisions and promote the safety of nursing management.
