使用计算机化医院信息系统优化医疗实践。输血示例。
Optimizing medical practice using a computerized hospital information system. Example of blood transfusions.
作者信息
Lepage E, Gardner R M, Laub R M, Golubjatnikov O
机构信息
Département de Biostatique et Informatique Médicale, Hôpital Saint-Louis, Paris, France.
出版信息
Nouv Rev Fr Hematol (1978). 1990;32(5):301-2.
The recent focus on medical risks and dollar cost of blood transfusion has resulted in the need to define guidelines for transfusion of blood products. In 1987, a computerized knowledge-based system was implemented at LDS Hospital to screen transfusion requests and flag those not justified by criteria defined by the medical staff. The use of red blood cells (RBC) for the 9 month period from July 1, 1988 was reviewed. The number of units ordered that met the criteria used by LDS Hospital was 90%. Our results showed there was a need to refine knowledge about transfusion therapy to help physicians optimize the use of blood products.
最近对输血的医学风险和美元成本的关注导致了制定血液制品输血指南的必要性。1987年，LDS医院实施了一个基于计算机知识的系统，以筛选输血请求并标记那些不符合医务人员定义标准的请求。对1988年7月1日起9个月期间红细胞（RBC）的使用情况进行了审查。符合LDS医院使用标准的订购单位数量为90%。我们的结果表明，有必要完善输血治疗知识，以帮助医生优化血液制品的使用。
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