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根据世界卫生组织的指南提供情境敏感型决策支持。

Providing context-sensitive decision-support based on WHO guidelines.

作者信息

Ray Heta N, Boxwala Aziz A, Anantraman Vishwanath, Ohno-Machado Lucila

机构信息

Decision Systems Group, Brigham & Women's Hospital, & Harvard Medical School, Boston, MA, USA.

出版信息

Proc AMIA Symp. 2002:637-41.


DOI:
PMID:12463901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2244156/
Abstract

A decision support system was developed implementing the WHO guideline for diarrhea management. The decision-support system is integrated into a medical records application on a handheld computer. The system will be used by primary health care workers in rural India. The guideline was encoded as a set of chained rules in CLIPS format. To enhance adherence to guidelines, we use a model based on a context-adapted guideline to provide decision support at the point of care in a particular setting. The purpose of the system is to tailor the recommendations based on the patient's condition and the local factors such as resource availability in order to create feasible uniformity in a practice across different providers of care.

摘要

开发了一个决策支持系统,该系统实施了世界卫生组织的腹泻管理指南。该决策支持系统集成到了手持计算机上的医疗记录应用程序中。印度农村的初级卫生保健工作者将使用该系统。该指南被编码为一组CLIPS格式的链式规则。为了提高对指南的遵守程度,我们使用了一个基于情境适应指南的模型,以便在特定环境下的护理点提供决策支持。该系统的目的是根据患者的病情和当地因素(如资源可用性)调整建议,以便在不同护理提供者的实践中实现可行的一致性。

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引用本文的文献

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本文引用的文献

[1]
Toward a representation format for sharable clinical guidelines.

J Biomed Inform. 2001-6

[2]
Computerized decision support based on a clinical practice guideline improves compliance with care standards.

Am J Med. 1997-1

[3]
Development of guidelines for general practice care.

Br J Gen Pract. 1993-4

[4]
Effects of computer-based clinical decision support systems on clinician performance and patient outcome. A critical appraisal of research.

Ann Intern Med. 1994-1-15

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