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SINI 2024: Design and Application of A Decision-Making System for Heart Failure in Nurse-Led Clinics

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Li, QiaoYan
Wu, Linjing
Wang, Yuli
Lu, Huilin
Zhang, Yunfei
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2024-07-18
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  1. Introduction The standardized prevalence rate of the population aged 25 years in China is 1.01%, with a significant proportion (40.5%) experiencing three hospitalizations. Additionally, there is a one-year mortality rate of 7% and a substantial economic burden, which significantly impacts the overall quality of life. Therefore, comprehensive, and multidisciplinary management of discharged heart failure patients is imperative. A decision-making system for heart failure in nurse-led Clinics aims to enhance intelligent and standardized management of heart failure patients based on evidence-based guidelines to support clinical decisionmaking.
  2. Methods Research Framework: 1. Formation of the team. 2. Demand Analysis: Semi-structured in-depth interviews are employed to comprehend the requirements of outpatient staff for informative purposes. 3. Process Reengineering: Sorting out the workflow and system functional flow of nursing clinics. 4. System Development: Integrating with the workflow, designing, and enhancing the system's functional architecture and interface based on user needs.
  3. Results The existing workflow undergoes transformation. Based on this process, the system functional flowchart is devised. Building upon the functional flowchart, a preliminary design of the decision-making system's functional architecture prototype is formulated, resulting in the formation of the subsequent functional modules: main interface, patient management interface, follow-up center, statistical analysis, and knowledge base. After aligning requirements with engineers' input, enhancements are made to refine the system interface design.
  4. Conclusions The decision-making system for heart failure, based on predefined pathways, will expedite the assessment process, offer effective decision-making support, facilitate standardized management of throughout the entire procedure, and is an effective tool to aid decision-making.
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Poster with abstract presented at the University of Maryland School of Nursing, Summer Institute in Nursing Informatics (SINI) 2024: Health Care Informatics IQ: Fostering the Human Connection.
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