Aronsky D, Haug P J
Dept. of Medical Informatics, LDS Hospital/University of Utah, Salt Lake City, USA.
Proc AMIA Symp. 1999:197-201.
Decision support systems that integrate guidelines have become popular applications to reduce variation and deliver cost-effective care. However, adverse characteristics of decision support systems, such as additional and time-consuming data entry or manually identifying eligible patients, result in a "behavioral bottleneck" that prevents decision support systems to become part of the clinical routine. This paper describes the design and the implementation of an integrated decision support system that explores a novel approach for bypassing the behavioral bottleneck. The real-time decision support system does not require health care providers to enter additional data and consists of a diagnostic and a management component.
整合了指南的决策支持系统已成为减少差异并提供具有成本效益的医疗服务的流行应用。然而，决策支持系统的不利特性，如额外且耗时的数据录入或手动识别符合条件的患者，导致了一个“行为瓶颈”，阻碍决策支持系统成为临床常规的一部分。本文描述了一个综合决策支持系统的设计与实现，该系统探索了一种绕过行为瓶颈的新方法。实时决策支持系统不需要医疗服务提供者输入额外数据，它由一个诊断组件和一个管理组件组成。
