Tang P C, Young C Y
Epic Research Institute, Mountain View, CA, USA.
Proc AMIA Symp. 2000:843-7.
Use of the World Wide Web provides an efficient means to disseminate guidelines, but integrating them into the workflow at the point of care remains elusive. We developed a method, ActiveGuidelines (AGL), of integrating web-based guidelines with computer-based patient record (CPR) systems. An ActiveGuideline is an HTML document containing special tags that are interpreted by a CPR as actions (e.g., medication order, test order, referral, patient instructions). In our usage scenario, the CPR automatically displays ActiveGuidelines relevant to the current patient context. After reviewing the guideline, the user selects recommended orders directly from the ActiveGuideline. The selected orders are automatically transmitted to the CPR and executed as regular orders. An ActiveGuideline editor facilitates easy conversion of existing HTML-formatted guidelines into ActiveGuidelines. We believe that integrating patient-specific ActiveGuidelines within a CPR system will improve utilization of clinical guidelines in routine patient care.
利用万维网提供了一种传播指南的有效手段，但将其整合到即时医疗工作流程中仍然难以实现。我们开发了一种名为“主动指南（AGL）”的方法，用于将基于网络的指南与基于计算机的患者记录（CPR）系统相整合。一个主动指南是一个包含特殊标签的HTML文档，CPR将这些标签解释为操作（例如，药物医嘱、检查医嘱、转诊、患者指导）。在我们的使用场景中，CPR会自动显示与当前患者情况相关的主动指南。在查看指南后，用户直接从主动指南中选择推荐的医嘱。所选医嘱会自动传输到CPR并作为常规医嘱执行。一个主动指南编辑器便于将现有的HTML格式指南轻松转换为主动指南。我们相信，在CPR系统中整合针对患者的主动指南将提高临床指南在常规患者护理中的利用率。
