Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
J Public Health Manag Pract. 2011 Jan-Feb;17(1):77-83. doi: 10.1097/PHH.0b013e3181ddcbc0.
Public health agencies including federal, state, and local governments routinely send out public health advisories and alerts via e-mail and text messages to health care providers to increase awareness of public health events and situations. Agencies must ensure that practitioners have timely and accessible information at the critical point-of-care. Electronic health record (EHR) systems have the potential to alert physicians of emerging health conditions deemed important for public health at the most critical time of need. To understand how public health agencies can leverage existing alerting mechanisms in EHR systems, it is important to understand characteristics of public health alerts to determine their suitability for alerting in EHR systems. Authors conducted a review and analysis of public health alerts for a 3-year period to identify critical data attributes necessary to support public health alerting in EHR systems. The alerts were restricted to those most relevant for clinical care. The results showed that there is an opportunity for disseminating actionable information to clinical practitioners at the point of care to guide care and reporting. Public health alerts in EHR systems can be useful in reporting, recommending specific tests, as well as suggesting secondary prevention.
公共卫生机构（包括联邦、州和地方政府）通常通过电子邮件和短信向医疗保健提供者发送公共卫生咨询和警报，以提高对公共卫生事件和情况的认识。机构必须确保从业者在关键的护理点获得及时和可访问的信息。电子健康记录 (EHR) 系统有可能在最需要的关键时刻提醒医生注意被认为对公共卫生重要的新出现的健康状况。为了了解公共卫生机构如何利用 EHR 系统中现有的警报机制，了解公共卫生警报的特征以确定它们是否适合在 EHR 系统中发出警报非常重要。作者对 3 年来的公共卫生警报进行了审查和分析，以确定支持 EHR 系统中公共卫生警报所需的关键数据属性。这些警报仅限于与临床护理最相关的警报。结果表明，有机会在护理点向临床医生传播可操作信息，以指导护理和报告。EHR 系统中的公共卫生警报可用于报告、推荐特定测试以及建议二级预防。
