Haug Peter J, Rocha Beatriz H S C, Evans R Scott
Department of Medical Informatics, Intermountain Health Care of Utah, University of Utah, 4646 Lake Park Blvd., Salt Lake City, UT 84120-8212, USA.
Int J Med Inform. 2003 Mar;69(2-3):273-84. doi: 10.1016/s1386-5056(02)00110-7.
This report describes an ongoing transition from the HELP Hospital Information System to HELP II, a replacement Health Information System built to manage clinical information captured in a variety of medical settings. The focus of the article is on the medical decision support provided by this system and studied by researchers at the University of Utah and Intermountain Health Care (IHC), a large health care organization in Utah, for many years.
Select success features of the original HELP system's decision support environment are identified and lessons learned are related. Plans for transferring these features to HELP II are discussed.
The article focuses on four features: (1) the importance of easy access to patient data essential for decision support, (2) the commitment to continued measurement and revision of both the logic and the interventional strategy in a decision support application, (3) experience with data mining as a tool for developing decision support tools, and (4) the role of clinical reports in supporting the decision making process.
本报告描述了从HELP医院信息系统向HELP II的持续过渡，HELP II是一个用于管理在各种医疗环境中收集的临床信息的替代性健康信息系统。本文重点关注该系统提供的医学决策支持，多年来犹他大学和犹他州的大型医疗保健机构山间医疗保健（IHC）的研究人员对其进行了研究。
确定了原始HELP系统决策支持环境的一些成功特征，并总结了经验教训。讨论了将这些特征转移到HELP II的计划。
本文重点关注四个特征：（1）易于获取对决策支持至关重要的患者数据的重要性，（2）在决策支持应用中持续衡量和修订逻辑及干预策略的承诺，（3）将数据挖掘作为开发决策支持工具的工具的经验，以及（4）临床报告在支持决策过程中的作用。
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