Henry S B, Schreiner J G, Borchelt D, Musen M A
Section on Medical Informatics, Stanford University School of Medicine, CA 94305.
Proc Annu Symp Comput Appl Med Care. 1992:59-63.
This study describes the complexity of the telephone-triage task in a community-based AIDS clinic. We identify deficiencies related to the data management for and documentation of the telephone-triage encounter, including inaccessibility of the medical record and failure to document required data elements. Our needs analysis suggests five design criteria for a computer-based system that assists nurses with the telephone-triage task: (1) online accessibility of the medical record, (2) ability to move among modules of the medical record and the triage-encounter module, (3) ease of data entry, (4) compliance with standards for documentation, and (5) notification of the primary-care physician in an appropriate and timely manner.
本研究描述了社区艾滋病诊所中电话分诊任务的复杂性。我们识别出与电话分诊会诊的数据管理和记录相关的不足之处,包括病历难以获取以及未能记录所需数据元素。我们的需求分析提出了一个基于计算机的系统的五项设计标准,该系统可协助护士完成电话分诊任务:(1)病历在线可获取性;(2)能够在病历各模块和分诊会诊模块之间切换;(3)数据录入简便;(4)符合文档标准;(5)及时、适当地通知初级保健医生。