Decision Support in Medicine: Examples from the HELP System
| Autor: | Homer R. Warner, Karen E. Tate, Gilad J. Kuperman, Peter J. Haug, R. Scott Evans, Stanley M. Huff, T. Allan Pryor, Reed M. Gardner, Thomas D. East |
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| Rok vydání: | 1994 |
| Předmět: |
Adult
Hospital information system Decision support system Knowledge management Quality Assurance Health Care media_common.quotation_subject Psychological intervention MEDLINE Medicine (miscellaneous) Expert Systems Severity of Illness Index Health informatics Hospitals University User-Computer Interface Utah Intervention (counseling) Health care Humans Medicine Blood Transfusion Function (engineering) Monitoring Physiologic media_common business.industry Length of Stay medicine.disease Respiration Artificial Hospital Information Systems Medical emergency Clinical Medicine Clinical Laboratory Information Systems business Software |
| Zdroj: | Computers and Biomedical Research. 27:396-418 |
| ISSN: | 0010-4809 |
| DOI: | 10.1006/cbmr.1994.1030 |
| Popis: | Computerized health information systems can contribute to the care received by patients in a number of ways. Not the least of these is through interactions with health care providers to modify diagnostic and therapeutic decisions. Since its beginning, developers have used the HELP hospital information system to explore computerized interventions into the medical decision making process. By their nature these interventions imply a computer-directed interaction with the physicians, nurses, and therapists involved in delivering care. In this paper we describe four different approaches to this intervention. These include: (1) processes that respond to the appearance of certain types of clinical data by issuing an alert informing caregivers of these data's presence and import, (2) programs that critique new orders and propose changes in those orders when appropriate, (3) programs that suggest new orders and procedures in response to patient data suggesting their need, and (4) applications that function by summarizing patient care data and that attempt to retrospectively assess the average or typical quality of medical decisions and therapeutic interventions made by health care providers. These approaches are illustrated with experience from the HELP system. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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