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开发电子病历临床信息工具:案例研究。

Development of a clinical information tool for the electronic medical record: a case study.

机构信息

Health Sciences Library System, University of Pittsburgh, Pittsburgh, PA, USA.

出版信息

J Med Libr Assoc. 2010 Jul;98(3):223-7. doi: 10.3163/1536-5050.98.3.010.

DOI:10.3163/1536-5050.98.3.010
PMID:20648256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2900999/
Abstract

QUESTION

What is the process of developing a clinical information tool to be embedded in the electronic health record of a very large and diverse academic medical center?

SETTING

The development took place at the University of Pittsburgh Health Sciences Library System.

METHOD

The clinical information tool developed is a search box with subject tabs to provide quick access to designated full-text information resources. Each subject tab offers a federated search of a different pool of resources. Search results are organized "on the fly" into meaningful categories using clustering technology and are directly accessible from the results page.

RESULTS

After more than a year of discussion and planning, a clinical information tool was embedded in the academic medical center's electronic health record.

CONCLUSION

The library successfully developed a clinical information tool, called Clinical-e, for use at the point of care. Future development will refine the tool and evaluate its impact and effectiveness.

摘要

问题

如何开发一个临床信息工具,将其嵌入到一个非常大且多样化的学术医疗中心的电子健康记录中?

背景

该开发工作在匹兹堡大学健康科学图书馆系统进行。

方法

开发的临床信息工具是一个带有主题标签的搜索框,可提供快速访问指定的全文信息资源。每个主题标签都提供了对不同资源池的联合搜索。使用聚类技术,搜索结果在“实时”基础上组织成有意义的类别,并可直接从结果页面访问。

结果

经过一年多的讨论和规划,一个临床信息工具被嵌入到学术医疗中心的电子健康记录中。

结论

图书馆成功地为护理点开发了一个名为 Clinical-e 的临床信息工具。未来的发展将完善该工具,并评估其影响和效果。

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J Am Med Inform Assoc. 2009 Jan-Feb;16(1):140-2. doi: 10.1197/jamia.M2746. Epub 2008 Oct 24.
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Redesign of the Columbia University Infobutton Manager.哥伦比亚大学信息按钮管理器的重新设计。
AMIA Annu Symp Proc. 2007 Oct 11;2007:135-9.
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Clinical decision velocity is increased when meta-search filters enhance an evidence retrieval system.当元搜索过滤器增强证据检索系统时,临床决策速度会提高。
J Am Med Inform Assoc. 2008 Sep-Oct;15(5):638-46. doi: 10.1197/jamia.M2765. Epub 2008 Jun 25.
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An integrated approach to computer-based decision support at the point of care.一种在医疗现场基于计算机的决策支持的综合方法。
Trans Am Clin Climatol Assoc. 2007;118:273-88.
5
Answering clinical questions in the ED.在急诊科回答临床问题。
Am J Emerg Med. 2008 Feb;26(2):144-7. doi: 10.1016/j.ajem.2007.03.031.
6
Patient-care questions that physicians are unable to answer.医生无法回答的患者护理问题。
J Am Med Inform Assoc. 2007 Jul-Aug;14(4):407-14. doi: 10.1197/jamia.M2398. Epub 2007 Apr 25.
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Use, usability, usefulness, and impact of an infobutton manager.信息按钮管理器的使用、可用性、有用性及影响
AMIA Annu Symp Proc. 2006;2006:151-5.
8
Effectiveness of clinician-selected electronic information resources for answering primary care physicians' information needs.临床医生选择的电子信息资源满足基层医疗医生信息需求的有效性。
J Am Med Inform Assoc. 2006 Nov-Dec;13(6):653-9. doi: 10.1197/jamia.M2087. Epub 2006 Aug 23.
9
How do primary care physicians seek answers to clinical questions? A literature review.基层医疗医生如何寻求临床问题的答案?一项文献综述。
J Med Libr Assoc. 2006 Jan;94(1):55-60.
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