Kaelber David C, Bates David W
Center for Information Technology Leadership and Clinical and Quality Analysis, Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, MA 02115, USA.
J Biomed Inform. 2007 Dec;40(6 Suppl):S40-5. doi: 10.1016/j.jbi.2007.08.011. Epub 2007 Sep 7.
One of the most promising advantages for health information exchange (HIE) is improved patient safety. Up to 18% of the patient safety errors generally and as many as 70% of adverse drug events could be eliminated if the right information about the right patient is available at the right time. Health information exchange makes this possible. Here we present an overview of six different ways in which HIE can improve patient safety-improved medication information processing, improved laboratory information processing, improved radiology information processing, improved communication among providers, improved communication between patients and providers, and improved public health information processing. Within the area of improved medication information processing we discuss drug-allergy information processing, drug-dose information processing, drug-drug information processing, drug-diagnosis information processing, and drug-gene information processing. We also briefly discuss HIE and decreased patient safety as well as standards and completeness of information for HIE and patient safety.
健康信息交换(HIE)最有前景的优势之一是提高患者安全。如果在正确的时间能够获取关于正确患者的正确信息,一般高达18%的患者安全错误以及多达70%的药物不良事件都可以消除。健康信息交换使这成为可能。在此,我们概述健康信息交换可提高患者安全的六种不同方式——改进用药信息处理、改进实验室信息处理、改进放射学信息处理、改进医疗服务提供者之间的沟通、改进患者与医疗服务提供者之间的沟通以及改进公共卫生信息处理。在改进用药信息处理领域,我们讨论药物过敏信息处理、药物剂量信息处理、药物相互作用信息处理、药物诊断信息处理以及药物基因信息处理。我们还简要讨论健康信息交换与患者安全降低的情况以及健康信息交换和患者安全方面信息的标准与完整性。