初级保健提供者 (PCP) 在治疗慢性疼痛患者时，会在有限的时间内使用电子健康记录 (EHR) 中组织混乱的患者信息。临床决策支持 (CDS) 工具通过综合患者信息并提示符合指南的治疗决策来协助 PCP。 CDS 工具 - Chronic Pain OneSheet 是通过以用户为中心的设计流程开发的，用于支持 PCP 对慢性非癌性疼痛患者的决策。 OneSheet 将相关患者信息汇总到 EHR 中的一处。 OneSheet 还指导 PCP 完成指南建议的阿片类药物风险管理任务、跟踪患者治疗并记录疼痛相关症状。我们的目标是确定障碍、促进因素和建议，以增加 OneSheet 在初级保健中用于慢性非癌症疼痛管理的使用。我们对来自两个学术卫生系统的 PCP 进行了 19 次定性访谈，这些 PCP 可以在其 EHR 中访问 OneSheet。使用修改后的主题方法对访谈记录进行编码，以识别常见主题。PCP 发现了使用 OneSheet 的几个障碍，包括满足与多种慢性病相关的患者需求的时间有限、对改变既定工作流程的抵制以及复杂的 OneSheet 显示。 PCP 报告了使用 OneSheet 的几个促进因素，例如 OneSheet 能够作为慢性疼痛数据的中心、轻松访问有助于完成强制性任务的功能以及改进某些患者就诊的计划。 PCP 建议优先访问常用功能、添加显示自定义功能以及扩大对患者和其他团队成员的访问范围，以增加 OneSheet 的使用。我们的研究结果强调了在设计 CDS 工具时了解 PCP 工作流程和任务负载的重要性。未来的 CDS 工具应在提供的信息范围与协助 PCP 完成强制性任务之间取得平衡。将 CDS 工具扩展到多个护理团队成员和患者还可以通过促进数据输入来提高使用率，从而更加简化护理服务。版权所有 © 2024 Elsevier B.V。保留所有权利。

Primary care providers (PCPs) use poorly organized patient information in electronic health records (EHR) within a limited time when treating patients with chronic pain. Clinical decision support (CDS) tools assist PCPs by synthesizing patient information and prompting guideline-concordant treatment decisions. A CDS tool- Chronic Pain OneSheet was developed through a user-centered design process to support PCP's decision-making for patients with chronic noncancer pain. OneSheet aggregates relevant patient information in one place in the EHR. OneSheet also guides PCPs in completing guideline-recommended opioid risk management tasks, tracking patient treatments, and documenting pain-related symptoms. Our objective was to identify barriers, facilitators, and recommendations to increase OneSheet use for chronic noncancer pain management in primary care.We conducted 19 qualitative interviews with PCPs from two academic health systems who had access to OneSheet in their EHR. Interview transcripts were coded to identify common themes using a modified thematic approach.PCPs identified several barriers to using OneSheet, including limited time to address patient needs associated with multiple chronic conditions, resistance to changing established workflows, and complex OneSheet display. PCPs reported several facilitators to using OneSheet, such as OneSheet's ability to serve as a hub for chronic pain data, easy access to features that facilitate completing mandatory tasks and improved planning for certain patient visits. PCPs recommended prioritizing access to commonly used features, adding display customization capabilities, and expanding access to patients and other team members to increase OneSheet use.Our findings highlight the importance of acknowledging the PCP workflow and task load when designing CDS tools. Future CDS tools should balance the extent of information provided with assisting PCPs to fulfill mandatory tasks. Expanding CDS tools to multiple care team members and patients can also lead to higher use by facilitating data entry, leading to more streamlined care delivery.Copyright © 2024 Elsevier B.V. All rights reserved.