Leahy Izabela C, Borczuk Rachel, Ferrari Lynne R
aDepartment of Anesthesiology Perioperative and Pain Management, Boston Children's Hospital bHarvard Medical School, Boston, Massachusetts, USA.
Curr Opin Anaesthesiol. 2017 Jun;30(3):383-389. doi: 10.1097/ACO.0000000000000454.
To design a patient data dashboard for the Department of Anesthesiology, Perioperative and Pain Medicine at Boston Children's Hospital that supports care integration across the healthcare system as described by the pediatric perioperative surgical home (PPSH) initiative.
By using 360 Technology, patient data was automatically pulled from all available Electronic Health Record sources from 2005 to the present. The PPSH dashboard described in this report provides a guide for implementation of PPSH Clinical Care Pathways. The dashboard integrates several databases to allow for visual longitudinal tracking of patient care, outcomes, and cost. The integration of electronic information provided the ability to display, compare, and analyze selected PPSH metrics in real time. By utilizing the PPSH dashboard format the use of an automated, integrated clinical, and financial health data profile for a specific patient population may improve clinicians' ability to have a comprehensive assessment of all care elements. This more global clinical thinking has the potential to produce bottom-up, evidence-based healthcare reform.
The experience with the PPSH dashboard provides solid evidence for the use of integrated Electronic Health Record to improve patient outcomes and decrease cost.
为波士顿儿童医院麻醉、围手术期和疼痛医学部设计一个患者数据仪表板，以支持儿科围手术期外科之家（PPSH）倡议所描述的整个医疗系统中的护理整合。
通过使用360技术，从2005年至今自动从所有可用的电子健康记录源中提取患者数据。本报告中描述的PPSH仪表板为PPSH临床护理路径的实施提供了指导。该仪表板整合了多个数据库，以便对患者护理、结果和成本进行可视化纵向跟踪。电子信息的整合提供了实时显示、比较和分析选定的PPSH指标的能力。通过采用PPSH仪表板格式，针对特定患者群体使用自动化、集成的临床和财务健康数据概况可能会提高临床医生全面评估所有护理要素的能力。这种更全面的临床思维有可能带来自下而上的、基于证据的医疗改革。
PPSH仪表板的经验为使用集成电子健康记录改善患者结局和降低成本提供了有力证据。
