Yamamoto Yasuhito
Department of Pediatrics, Tokyo Metropolitan Hiroo Hospital, Shibuya-ku, Tokyo 150-0013, Japan.
Rinsho Byori. 2011 May;59(5):519-26.
To support patient safety, we have established a new system that collates medical facility clinical records, examination results and orders, and implementation information comprehensively in real time, checks for consistency and validity, and sends warnings to the appropriate people at the appropriate time. Because our system actually corrects inaccurate operation information, it is different from most existing facilities for patient safety in that it reconstructs information independently from the HIS (Hospital Information System). We were permitted to send warning messages not only to the doctor who entered the orders, but also to the chief of medical staff and team members. For the warning method, we tried screen flashes and chimes, mobile phone messages, and high quality interactive voice responses. We also investigated the degree of message usefulness. Therein, by not relying on "authenticity" and "readability," but by exhaustively collecting and appropriately revising in alignment with the use of information, we have created an original system that collects accurate information. This original system was established by medical staff members. The appropriate revisions mentioned herein are items which meticulously reflect the medical professional's comments and selected operation and signify why a "Clinical Decision Support System created by medical staff" is necessary.
为保障患者安全,我们建立了一个新系统,该系统可实时全面整理医疗机构的临床记录、检查结果与医嘱以及执行信息,检查其一致性和有效性,并在适当时间向相关人员发出警告。由于我们的系统实际上会纠正不准确的操作信息,所以它与大多数现有的患者安全设施不同,它是独立于医院信息系统(HIS)重建信息的。我们被允许不仅向录入医嘱的医生,还向医务主任和团队成员发送警告信息。对于警告方式,我们尝试了屏幕闪烁与提示音、手机信息以及高质量交互式语音回复。我们还调查了信息的有用程度。其中,我们不依赖“真实性”和“可读性”,而是通过详尽收集并根据信息使用情况进行适当修订,创建了一个收集准确信息的原创系统。这个原创系统是由医务人员建立的。此处提到的适当修订是精心反映医学专业人员意见并经挑选的操作项目,它们表明了为何需要一个“由医务人员创建的临床决策支持系统”。