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将肿瘤学方案融入医疗服务:Oncocure项目。

Embedding oncologic protocols into the provision of care: the Oncocure project.

作者信息

Eccher Claudio, Seyfang Andreas, Ferro Antonella, Miksch Silvia

机构信息

e-Health Applied Research Unit, Fondazione Bruno Kessler, Trento, Italy.

出版信息

Stud Health Technol Inform. 2009;150:663-7.

PMID:19745394
Abstract

A computerized Decision Support System (CDSS) can improve the adherence of the clinicians to clinical guidelines and protocols. Integrating it within the clinical workflow can reduce the workload of the physicians, and improve the acceptance of the system. The building of a prescriptive CDSS and its integration with a legacy cancer patient management system is the aim of the Oncocure project, which implements the existing protocol for the medical treatment of breast cancer in the Asbru language, and interfaces the Asbru interpreter with the Electronic Patient Record (EPR) in use in an oncologic unit. Our work is not constrained to a specific domain or EPR implementation, but can be generalized to other fields of medicine and patient management systems. When implemented, our CDSS is expected to reduce the cost of care while improving the adherence to the guideline and the quality of the documentation.

摘要

计算机化决策支持系统(CDSS)可以提高临床医生对临床指南和协议的依从性。将其集成到临床工作流程中可以减轻医生的工作量,并提高系统的接受度。构建一个规范性CDSS并将其与传统癌症患者管理系统集成是Oncocure项目的目标,该项目以Asbru语言实施现有的乳腺癌医疗协议,并将Asbru解释器与肿瘤科室使用的电子病历(EPR)相连接。我们的工作并不局限于特定领域或EPR实施,而是可以推广到其他医学领域和患者管理系统。实施后,我们的CDSS有望在提高指南依从性和文档质量的同时降低护理成本。

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引用本文的文献

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Computerization of workflows, guidelines, and care pathways: a review of implementation challenges for process-oriented health information systems.工作流程、指南和护理路径的计算机化:面向流程的健康信息系统实施挑战综述。
J Am Med Inform Assoc. 2011 Nov-Dec;18(6):738-48. doi: 10.1136/amiajnl-2010-000033. Epub 2011 Jul 1.