儿科急诊科哮喘管理系统的开发。
Development of an asthma management system in a pediatric emergency department.
作者信息
Dexheimer Judith W, Arnold Donald H, Abramo Thomas J, Aronsky Dominik
机构信息
Dept. of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA.
出版信息
AMIA Annu Symp Proc. 2009 Nov 14;2009:142-6.
Asthma is the leading chronic childhood disease with exacerbations resulting in urgent and emergency care visits. Guidelines adherence improves patient care but is suboptimal. A computerized guideline system can help improve compliance through automatic initiation and reminders to increase adherence. We designed a computerized management system for asthma care in the pediatric emergency department (ED). The system will be evaluated in two phases. The first phase evaluates a computerized diagnostic prompt using the ED's existing asthma protocol. The second phase evaluates a computerized asthma management system including temporal reminder elements for scoring and medication orders. The system was developed in conjunction with the pediatric ED multidisciplinary care team. The computerized system is entirely automatic and a prospective evaluation of the diagnostic component is ongoing.
哮喘是导致儿童紧急和急诊就诊的主要慢性疾病。遵循指南可改善患者护理，但目前仍未达到最佳状态。计算机化指南系统可通过自动启动和提醒来帮助提高依从性，从而改善护理效果。我们设计了一个用于儿科急诊科（ED）哮喘护理的计算机化管理系统。该系统将分两个阶段进行评估。第一阶段使用急诊科现有的哮喘诊疗方案评估计算机化诊断提示。第二阶段评估一个计算机化哮喘管理系统，该系统包括用于评分和用药医嘱的时间提醒元素。该系统是与儿科急诊科多学科护理团队共同开发的。该计算机化系统完全自动化，目前正在对诊断部分进行前瞻性评估。
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