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诊断信息学:其在提升临床卓越性、患者安全及医疗价值方面的作用。

Diagnostic Informatics: Its Role in Enhancing Clinical Excellence, Patient Safety and the Value of Care.

作者信息

Georgiou Andrew, Hardie Rae-Anne, Dahm Maria R, Li Julie, Thomas Judith, Sezgin Gorkem, Li Ling, Westbrook Johanna I

机构信息

Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.

出版信息

Stud Health Technol Inform. 2019 Aug 21;264:591-595. doi: 10.3233/SHTI190291.

Abstract

Diagnostic informatics encompasses the role of information technology in key areas of the diagnostic testing (pathology and medical imaging) process, including the selection of appropriate tests and interpretation and follow-up of test results. We present three case studies employing diagnostic informatics methodologies to demonstrate their potential use and value in health services research: (1) Data analytics applied to diagnostic data linked with patient outcome data as a means of enhanancing the monitoring of the quality and appropriateness of diagnostic test choices; (2) Business process modelling which can help to highlight healthcare processes in the diagnostic pathway as a means of improving safety and performance, and (3) Consumer involvement in the diagnostic research process to assist in the establishment of person-centred test result management systems. The case studies provide evidence of the role that diagnostic informatics can have in improving the quality and safety of patient care.

摘要

诊断信息学涵盖了信息技术在诊断测试(病理学和医学成像)过程关键领域中的作用,包括选择合适的测试以及对测试结果的解读和跟进。我们展示了三个采用诊断信息学方法的案例研究,以证明其在卫生服务研究中的潜在用途和价值:(1)将数据分析应用于与患者结局数据相关联的诊断数据,以此加强对诊断测试选择质量和适当性的监测;(2)业务流程建模有助于突出诊断途径中的医疗保健流程,作为提高安全性和绩效的一种手段;(3)消费者参与诊断研究过程,以协助建立以人为本的测试结果管理系统。这些案例研究证明了诊断信息学在提高患者护理质量和安全性方面所能发挥的作用。

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