Del Fiol Guilherme, Curtis Clayton, Cimino James J, Iskander Andrew, Kalluri Aditya S D, Jing Xia, Hulse Nathan C, Long Jie, Overby Casey L, Schardt Connie, Douglas David M
Department of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Stud Health Technol Inform. 2013;192:672-6.
Clinicians' patient care information needs are frequent and largely unmet. Online knowledge resources are available that can help clinicians meet these information needs. Yet, significant barriers limit the use of these resources within the clinical workflow. Infobuttons are clinical decision support tools that use the clinical context (e.g., institution, user, patient) within electronic health record (EHR) systems to anticipate clinicians' questions and provide automated links to relevant information in knowledge resources. This paper describes OpenInfobutton (www.openinfobutton.org): a standards-based, open source Web service that was designed to disseminate infobutton capabilities in multiple EHR systems and healthcare organizations. OpenInfobutton has been successfully integrated with 38 knowledge resources at 5 large healthcare organizations in the United States. We describe the OpenInfobutton architecture, knowledge resource integration, and experiences at five large healthcare organizations.
临床医生对患者护理信息的需求频繁且大多未得到满足。现有的在线知识资源可以帮助临床医生满足这些信息需求。然而，重大障碍限制了这些资源在临床工作流程中的使用。信息按钮是临床决策支持工具，它利用电子健康记录（EHR）系统中的临床背景（如机构、用户、患者）来预测临床医生的问题，并提供指向知识资源中相关信息的自动链接。本文介绍了开放式信息按钮（www.openinfobutton.org）：一个基于标准的开源网络服务，旨在在多个电子健康记录系统和医疗保健组织中传播信息按钮功能。开放式信息按钮已在美国5家大型医疗保健组织中与38个知识资源成功集成。我们描述了开放式信息按钮的架构、知识资源整合以及在5家大型医疗保健组织中的经验。
