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临床决策支持系统:将临床实验室打造为决策中心的重要一步——临床实验室中CDS系统协议的实施

Clinical Decision Support systems: A step forward in establishing the clinical laboratory as a decision maker hubA CDS system protocol implementation in the clinical laboratory.

作者信息

Flores Emilio, Salinas José María, Blasco Álvaro, López-Garrigós Maite, Torreblanca Ruth, Carbonell Rosa, Martínez-Racaj Laura, Salinas Maria

机构信息

Clinical Laboratory, University Hospital Sant Joan d'Alacant, Crta. Nacional 332 s/n, 03550, San Juan de Alicante, Spain.

Department of Clinical Medicine, Universidad Miguel Hernández, Crta. Nacional N-332 s/n, 03550, San Juan de Alicante, Spain.

出版信息

Comput Struct Biotechnol J. 2023 Aug 19;22:27-31. doi: 10.1016/j.csbj.2023.08.006. eCollection 2023.

Abstract

BACKGROUND

New tools for health information technology have been developed in recent times, such as Clinical Decision Support (CDS) systems, which are any digital solutions designed to help healthcare professionals when making clinical decisions. The study aimed to show how we have adopted a CDS system in the San Juan de Alicante Clinical Laboratory and facilitate the implementation of our protocol in other clinical laboratories. We have user experience and the motivation to improve healthcare tools. The improvement, measurement, and monitoring of interventions and laboratory tests has been our motto for years.

MATERIALS AND METHODS

A descriptive research was conducted. All stages in the design of the project are as follows: 1. Set up a multidisciplinary workgroup. 2. Review patients' data. 3. Identify relevant data from main sources. 4. Design the likely outcomes. 5. Define a complete integration scenario. 6. Monitor and track the impact. To set up this protocol, two new software systems were implemented in our laboratory: AlinIQ CDS v8.2 as Rule Engine, and AlinIQ AIP Integrated Platform v1.6 as Business Intelligence (BI) tool.

RESULTS

Our protocol shows the workflow and actions that can be done with a CDS system and also how it could be integrated with other monitoring systems, as well as some examples of KPIs and their outcomes.

CONCLUSIONS

CDS could be a great strategic asset for clinical laboratories to improve the integration of care, optimize the use of laboratory tests, and add more clinical value to physicians in the interpretation of results.

摘要

背景

近年来已开发出用于健康信息技术的新工具,如临床决策支持(CDS)系统,它是旨在帮助医疗保健专业人员做出临床决策的任何数字解决方案。本研究旨在展示我们如何在阿利坎特圣胡安临床实验室采用CDS系统,并促进我们的方案在其他临床实验室的实施。我们拥有用户体验以及改进医疗保健工具的动力。多年来,对干预措施和实验室检测进行改进、测量和监测一直是我们的座右铭。

材料与方法

进行了一项描述性研究。该项目设计的所有阶段如下:1. 成立一个多学科工作组。2. 审查患者数据。3. 从主要来源识别相关数据。4. 设计可能的结果。5. 定义一个完整的集成方案。6. 监测和跟踪影响。为了建立这个方案,我们实验室实施了两个新的软件系统:作为规则引擎的AlinIQ CDS v8.2和作为商业智能(BI)工具的AlinIQ AIP集成平台v1.6。

结果

我们的方案展示了使用CDS系统可以完成的工作流程和操作,以及它如何与其他监测系统集成,还有一些关键绩效指标(KPI)及其结果的示例。

结论

CDS对于临床实验室而言可能是一项巨大的战略资产,有助于改善护理整合、优化实验室检测的使用,并在结果解读方面为医生增加更多临床价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5955/10474568/bbe5098a5fe7/gr1.jpg

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