Friedman B A
Department of Pathology, University of Michigan Medical School, Ann Arbor 48109-0602.
J Med Syst. 1989 Aug;13(4):221-5. doi: 10.1007/BF00996645.
The author suggests that reference should be made in the future to the need to informate and not to automate the medical record. The reason for this recommended semantic change is first to avoid the mistaken notion that the computerization of medical records will reduce the number of personnel processing medical information. Instead, personnel will shift their attention from rote clerical activities to analytic activities made possible by the creation of new data bases by computers. These new data bases, a byproduct of informating the medical record, describe work processes and lend themselves to analytic activities which will enhance quality and efficiency in hospitals. The recent availability of report generators on commercial Laboratory Information Systems (LISs) mark their transition from automating to informating systems. One example of an ad hoc report used to enhance quality and efficiency in the clinical laboratories is the throughput report.
作者建议，未来应提及对医疗记录进行信息化而非自动化处理的必要性。提出这一语义变化建议的原因首先是为了避免一种错误观念，即医疗记录的计算机化会减少处理医疗信息的人员数量。相反，人员将把注意力从机械的文书工作转移到由计算机创建新数据库所促成的分析活动上。这些新数据库是医疗记录信息化的副产品，描述了工作流程，并适用于能够提高医院质量和效率的分析活动。商业实验室信息系统（LIS）上近期可用的报告生成器标志着它们从自动化系统向信息化系统的转变。用于提高临床实验室质量和效率的临时报告的一个例子是通量报告。
