Int J Med Inform - Development and evaluation of data entry templates based on the entity-attribute-value model for clinical decision support of pressure ulcer wound management.

Tópicos

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Resumo

RPOSES: The purpose of this study was to develop and evaluate the functionality of structured data entry templates using the entity-attribute-value (EAV) model for clinical decision support of pressure ulcer wound management.METHODS: A data set for wound assessment of pressure ulcers that has commonly been recommended by clinical practice guidelines was identified, and then the EAV models on each data were developed. Structured data entry templates and a database were developed based on these EAV models. These were integrated with a knowledge engine into the clinical decision support system (CDSS) to provide patient-specific recommendations on pressure ulcer wound management. The functionality of the EAV model and structured data entry templates for the CDSS was evaluated heuristically by five nurse experts using clinical scenarios.RESULTS: The data set containing 13 entities was identified and EAV models of these entities were created. Cardinalities and data types of attributes were defined to represent the models in more detail. Terms used in the EAV models were mapped to SNOMED CT concepts. Six data entry templates and the relational database with ten tables were developed. Five nurses successfully entered all data in the scenarios except one data element and retrieved expected recommendations successfully from the clinical decision support system when all data were entered correctly.CONCLUSIONS: The clinical data models and structured data entry templates developed in this study were useful in supporting clinical decision making on pressure ulcer wound management.

Resumo Limpo

rpose purpos studi develop evalu function structur data entri templat use entityattributevalu eav model clinic decis support pressur ulcer wound managementmethod data set wound assess pressur ulcer common recommend clinic practic guidelin identifi eav model data develop structur data entri templat databas develop base eav model integr knowledg engin clinic decis support system cdss provid patientspecif recommend pressur ulcer wound manag function eav model structur data entri templat cdss evalu heurist five nurs expert use clinic scenariosresult data set contain entiti identifi eav model entiti creat cardin data type attribut defin repres model detail term use eav model map snome ct concept six data entri templat relat databas ten tabl develop five nurs success enter data scenario except one data element retriev expect recommend success clinic decis support system data enter correctlyconclus clinic data model structur data entri templat develop studi use support clinic decis make pressur ulcer wound manag

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