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一个能够促进临床决策支持知识和服务跨机构边界共享的法律框架。

A legal framework to enable sharing of Clinical Decision Support knowledge and services across institutional boundaries.

作者信息

Hongsermeier Tonya, Maviglia Saverio, Tsurikova Lana, Bogaty Dan, Rocha Roberto A, Goldberg Howard, Meltzer Seth, Middleton Blackford

机构信息

Clinical Informatics R&D, Partners HealthCare System, Wellesley, MA, USA.

出版信息

AMIA Annu Symp Proc. 2011;2011:925-33. Epub 2011 Oct 22.

PMID:22195151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3243291/
Abstract

The goal of the CDS Consortium (CDSC) is to assess, define, demonstrate, and evaluate best practices for knowledge management and clinical decision support in healthcare information technology at scale - across multiple ambulatory care settings and Electronic Health Record technology platforms. In the course of the CDSC research effort, it became evident that a sound legal foundation was required for knowledge sharing and clinical decision support services in order to address data sharing, intellectual property, accountability, and liability concerns. This paper outlines the framework utilized for developing agreements in support of sharing, accessing, and publishing content via the CDSC Knowledge Management Portal as well as an agreement in support of deployment and consumption of CDSC developed web services in the context of a research project under IRB oversight.

摘要

临床决策支持联盟(CDSC)的目标是在大规模的医疗信息技术中评估、定义、展示和评估知识管理与临床决策支持的最佳实践——涵盖多个门诊护理环境和电子健康记录技术平台。在CDSC的研究过程中,很明显,为了解决数据共享、知识产权、问责制和责任问题,知识共享和临床决策支持服务需要坚实的法律基础。本文概述了用于制定协议的框架,以支持通过CDSC知识管理门户共享、访问和发布内容,以及在机构审查委员会监督下的研究项目背景下,支持部署和使用CDSC开发的网络服务的协议。

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本文引用的文献

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The morningside initiative: collaborative development of a knowledge repository to accelerate adoption of clinical decision support.晨边高地计划:协作开发知识库以加速临床决策支持的应用。
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Medical malpractice liability in the age of electronic health records.电子健康记录时代的医疗过失责任
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Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force.关于医疗信息技术供应商、其客户和患者的伦理、安全、最佳实践和监督方面的挑战:AMIA 特别工作组的报告。
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The clinical decision support consortium.临床决策支持联盟
Stud Health Technol Inform. 2009;150:26-30.
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Creating and sharing clinical decision support content with Web 2.0: Issues and examples.利用Web 2.0创建和共享临床决策支持内容:问题与实例
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A roadmap for national action on clinical decision support.国家临床决策支持行动路线图。
J Am Med Inform Assoc. 2007 Mar-Apr;14(2):141-5. doi: 10.1197/jamia.M2334. Epub 2007 Jan 9.
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Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review.计算机化临床决策支持系统对从业者表现和患者结局的影响:一项系统综述。
JAMA. 2005 Mar 9;293(10):1223-38. doi: 10.1001/jama.293.10.1223.
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Pragmatics of implementing guidelines on the front lines.在前线实施指南的语用学
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Executing clinical practice guidelines using the SAGE execution engine.使用SAGE执行引擎执行临床实践指南。
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The InterMed approach to sharable computer-interpretable guidelines: a review.可共享的计算机可解释指南的InterMed方法:综述
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