Shabot M M, LoBue M, Chen J
Departments of Enterprise Information Services, Surgery and Pharmacy, Cedars-Sinai Health System, Los Angeles, California, USA.
Proc AMIA Symp. 2000:789-93. doi: 10.1109/hicss.2000.926784.
A fully interfaced clinical information system (CIS) contains physiologic, laboratory, blood gas, medication and other data that can be used as the information base for a comprehensive alerting system. Coupled with an event driven rules engine, a CIS can generate clinical alerts which may both prevent medical errors and assist caregivers in responding to critical events in a timely way. The authors have developed a clinical alerting system which delivers alerts and reminders to clinicians in real time via a alphanumeric display pagers. This paper will describe the system, the type and number of alerts generated, and the impact on clinical practice. A major issue remains in measuring the impact of wireless alerts on patient outcomes.
一个完全接口化的临床信息系统（CIS）包含生理、实验室、血气、用药及其他数据，这些数据可用作综合警报系统的信息基础。结合事件驱动规则引擎，CIS能够生成临床警报，这既可以预防医疗差错，又能帮助医护人员及时应对危急事件。作者开发了一种临床警报系统，该系统通过字母数字显示寻呼机向临床医生实时发送警报和提醒。本文将描述该系统、所生成警报的类型和数量，以及对临床实践的影响。在衡量无线警报对患者预后的影响方面，一个主要问题仍然存在。
