Li Haomin, Zhang Yinsheng, Cheng Haixia, Lu Xudong, Duan Huilong
College of Biomedical Engineering and Instrument Science, Zhejiang University, China.
Stud Health Technol Inform. 2013;192:953.
Well-designed standard order sets have the potential to integrate and coordinate care by communicating best practices through multiple disciplines, levels of care, and services. However, there are several challenges which certainly affected the benefits expected from standard order sets. To boost standard order sets utilization, a problem-oriented knowledge delivery solution was proposed in this study to facilitate access of standard order sets and evaluation of its treatment effect. In this solution, standard order sets were created along with diagnostic rule sets which can trigger a CDS-based reminder to help clinician quickly discovery hidden clinical problems and corresponding standard order sets during ordering. Those rule set also provide indicators for targeted evaluation of standard order sets during treatment. A prototype system was developed based on this solution and will be presented at Medinfo 2013.
精心设计的标准医嘱集有潜力通过跨多学科、护理级别和服务来传达最佳实践，从而整合和协调护理工作。然而，存在若干挑战，这些挑战无疑影响了标准医嘱集预期带来的益处。为提高标准医嘱集的利用率，本研究提出了一种面向问题的知识传递解决方案，以促进标准医嘱集的获取及其治疗效果评估。在该解决方案中，标准医嘱集与诊断规则集一同创建，诊断规则集可触发基于临床决策支持（CDS）的提醒，以帮助临床医生在开医嘱时快速发现隐藏的临床问题及相应的标准医嘱集。这些规则集还为治疗期间标准医嘱集的针对性评估提供指标。基于该解决方案开发了一个原型系统，并将在2013年医学信息学大会（Medinfo 2013）上展示。
