Kuperman Gilad J, Diamente Rosanna, Khatu Vrinda, Chan-Kraushar Terri, Stetson Pete, Boyer Aurelia, Cooper Mary
Department of Quality Assurance, NewYork-Presbyterian Hospital, NY, USA.
AMIA Annu Symp Proc. 2005;2005:415-9.
Clinical decision support can improve the quality of care, but requires substantial knowledge management activities. At NewYork-Presbyterian Hospital in New York City, we have implemented a formal alert management process whereby only hospital committees and departments can request alerts. An explicit requestor, who will help resolve the details of the alert logic and the alert message must be identified. Alerts must be requested in writing using a structured alert request form. Alert requests are reviewed by the Alert Committee and then forwarded to the Information Systems department for a software development estimate. The model required that clinical committees and departments become more actively involved in the development of alerts than had previously been necessary. In the 12 months following implementation, 10 alert requests were received. The model has been well received. A lot of the knowledge engineering work has been distributed and burden has been removed from scarce medical informatics resources.
临床决策支持可以提高医疗质量，但需要大量的知识管理活动。在纽约市的纽约长老会医院，我们实施了一个正式的警报管理流程，只有医院委员会和部门可以请求警报。必须确定一名明确的请求者，其将帮助解决警报逻辑和警报消息的细节。警报必须使用结构化警报请求表以书面形式请求。警报请求由警报委员会审查，然后转发给信息系统部门进行软件开发评估。该模式要求临床委员会和部门比以往更积极地参与警报的开发。在实施后的12个月里，收到了10份警报请求。该模式受到了好评。大量的知识工程工作得到了分配，稀缺的医学信息学资源的负担也得以减轻。
