TY -的盟Berdahl卡尔T非盟-亨里德领衔,安德鲁•J AU - Pevnick约书亚M AU -郑,凯盟——Nuckols Teryl K PY - 2022 DA - 2022/11/17 TI -数字工具旨在获得病人的现病史:范围审查乔- J地中海互联网Res SP - e36074六世病历- 11千瓦是24 KW -信息学KW -急诊医学KW -人机交互KW -病史采取KW -手机AB -背景:许多疾病，大约80%，都可以通过详细的病史(HPI)来诊断。然而，在临床环境中，诸如中断和时间压力等情境因素可能导致与患者的互动短暂而分散。提高临床医生收集全面HPI的能力并最大限度提高护理效率和质量的一个解决方案是在临床医生面对面评估之前使用数字工具获取HPI。目的:我们的目标是识别和描述设计用于直接从患者或护理人员处获取HPI的数字工具，并在面对面接触之前将该信息呈现给临床医生。我们还试图描述这些工具测试报告的结果，特别是那些与可用性、效率和护理质量相关的结果。方法:我们在以下数据库中使用预定义的搜索词进行了范围综述:MEDLINE, CINAHL, PsycINFO, Web of Science, Embase, IEEE explore数字图书馆，ACM数字图书馆和ProQuest Dissertations & Theses Global。两名审稿人筛选标题和摘要的相关性，对符合纳入标准的文章进行全文审查，并使用成堆分类程序来识别工具的显著特征。描述工具的信息主要来自已确定的同行评审来源;此外，从工具网站和通过与工具创建者的直接交流获得补充信息。 Results: We identified 18 tools meeting the inclusion criteria. Of these 18 tools, 14 (78%) used primarily closed-ended and multiple-choice questions, 1 (6%) used free-text input, and 3 (17%) used conversational (chatbot) style. More than half (10/18, 56%) of the tools were tailored to specific patient subpopulations; the remaining (8/18, 44%) tools did not specify a target subpopulation. Of the 18 tools, 7 (39%) included multilingual support, and 12 (67%) had the capability to transfer data directly into the electronic health record. Studies of the tools reported on various outcome measures related to usability, efficiency, and quality of care. Conclusions: The HPI tools we identified (N=18) varied greatly in their purpose and functionality. There was no consensus on how patient-generated information should be collected or presented to clinicians. Existing tools have undergone inconsistent levels of testing, with a wide variety of different outcome measures used in evaluation, including some related to usability, efficiency, and quality of care. There is substantial interest in using digital tools to obtain the HPI from patients, but the outcomes measured have been inconsistent. Future research should focus on whether using HPI tools can lead to improved patient experience and health outcomes, although surrogate end points could instead be used so long as patient safety is monitored. SN - 1438-8871 UR - //www.mybigtv.com/2022/11/e36074 UR - https://doi.org/10.2196/36074 UR - http://www.ncbi.nlm.nih.gov/pubmed/36394945 DO - 10.2196/36074 ID - info:doi/10.2196/36074 ER -