Gardner R M, Pryor T A, Warner H R
LDS Hospital, Salt Lake City, UT 84143, USA.
Int J Med Inform. 1999 Jun;54(3):169-82. doi: 10.1016/s1386-5056(99)00013-1.
The HELP hospital information system has been operational at LDS Hospital since 1967. The system initially supported a heart catheterization laboratory and a post open heart Intensive Care Unit. Since the initial installation the system has been expanded to become an integrated hospital information system providing services with sophisticated clinical decision-support capabilities to a wide variety of clinical areas such as laboratory, nurse charting, radiology, pharmacy, etc. The HELP system is currently operational in multiple hospitals of LDS Hospital's parent health care enterprise--Intermountain Health Care (IHC). The HELP system has also been integrated into the daily operations of several other hospitals in addition to those at IHC. Evaluations of the system have shown: (1) it to be widely accepted by clinical staff; (2) computerized clinical decision-support is feasible; (3) the system provides improvements in patient care; and (4) the system has aided in providing more cost-effective patient care. Plans for making the transition from the 'function rich' HELP system to more modern hardware and software platforms are also discussed.
HELP医院信息系统自1967年起在LDS医院投入使用。该系统最初支持一个心脏导管插入实验室和一个心脏直视手术后的重症监护病房。自首次安装以来，该系统已扩展成为一个集成医院信息系统，为实验室、护士记录、放射学、药房等各种临床领域提供具有复杂临床决策支持功能的服务。HELP系统目前在LDS医院的母公司医疗保健企业——山间医疗保健公司（IHC）的多家医院中运行。除了IHC的医院外，HELP系统还被集成到其他几家医院的日常运营中。对该系统的评估表明：（1）它被临床工作人员广泛接受；（2）计算机化临床决策支持是可行的；（3）该系统改善了患者护理；（4）该系统有助于提供更具成本效益的患者护理。文中还讨论了从“功能丰富”的HELP系统过渡到更现代的硬件和软件平台的计划。
