Gillam Michael, Rothenhaus Todd, Smith Vernon, Kanhouwa Meera
Evanston Northwestern Healthcare, Division of Emergency Medicine, 2650 Ridge Avenue, Evanston, IL 60201, USA.
Acad Emerg Med. 2004 Nov;11(11):1155-61. doi: 10.1197/j.aem.2004.08.009.
Information technology holds the promise to enhance the ability of individuals and organizations to manage emergency departments, improve data sharing and reporting, and facilitate research. The Society for Academic Emergency Medicine (SAEM) Consensus Committee has identified nine principles to outline a path of optimal features and designs for current and future information technology systems. The principles roughly summarized include the following: utilize open database standards with clear data dictionaries, provide administrative access to necessary data, appoint and recognize individuals with emergency department informatics expertise, allow automated alert and proper identification for enrollment of cases into research, provide visual and statistical tools and training to analyze data, embed automated configurable alarm functionality for clinical and nonclinical systems, allow multiexport standard and format configurable reporting, strategically acquire mission-critical equipment that is networked and capable of automated feedback regarding functional status and location, and dedicate resources toward informatics research and development. The SAEM Consensus Committee concludes that the diligent application of these principles will enhance emergency department management, reporting, and research and ultimately improve the quality of delivered health care.
信息技术有望提高个人和组织管理急诊科的能力，改善数据共享和报告，并促进研究。学术急诊医学协会（SAEM）共识委员会确定了九条原则，以勾勒当前和未来信息技术系统的最佳功能和设计路径。大致总结的原则如下：使用具有清晰数据字典的开放数据库标准，提供对必要数据的管理访问权限，任命并认可具有急诊科信息学专业知识的人员，允许自动警报并正确识别病例以纳入研究，提供视觉和统计工具以及数据分析培训，为临床和非临床系统嵌入自动可配置警报功能，允许多格式标准和可配置报告输出，战略性地购置联网且能够提供功能状态和位置自动反馈的关键任务设备，并将资源投入信息学研发。SAEM共识委员会得出结论，认真应用这些原则将加强急诊科管理、报告和研究，并最终提高所提供医疗保健的质量。
