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健康检查系统与临床决策支持系统集成。

A health examination system integrated with clinical decision support system.

机构信息

Family Medicine Department, RenAi Branch, Taipei City Hospital, 10F, No. 10, Sec. 4, RenAi Road, Taipei City 106 Taiwan, Republic of China.

出版信息

J Med Syst. 2010 Oct;34(5):829-42. doi: 10.1007/s10916-009-9297-2. Epub 2009 May 1.

Abstract

Health examinations play a key role in preventive medicine. We propose a health examination system named Health Examination Automatic Logic System (HEALS) to assist clinical workers in improving the total quality of health examinations. Quality of automated inference is confirmed by the zero inference error where during 6 months and 14,773 cases. Automated inference time is less than one second per case in contrast to 2 to 5 min for physicians. The most significant result of efficiency evaluation is that 3,494 of 4,356 (80.2%) cases take less than 3 min per case for producing a report summary. In the evaluation of effectiveness, novice physicians got 18% improvement in making decisions with the assistance of our system. We conclude that a health examination system with a clinical decision system can greatly reduce the mundane burden on clinical workers and markedly improve the quality and efficiency of health examination tasks.

摘要

健康检查在预防医学中起着关键作用。我们提出了一个名为健康检查自动逻辑系统(HEALS)的健康检查系统,以帮助临床工作者提高健康检查的总体质量。通过零推断错误确认了自动化推断的质量,在 6 个月和 14773 例中没有推断错误。与医生的 2 到 5 分钟相比,每个病例的自动化推断时间不到 1 秒。效率评估的最重要结果是,4356 例中有 3494 例(80.2%)每例报告摘要的生成时间少于 3 分钟。在效果评估中,新手医生在我们系统的辅助下做出决策的能力提高了 18%。我们的结论是,具有临床决策系统的健康检查系统可以大大减轻临床工作者的日常负担,并显著提高健康检查任务的质量和效率。

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