Hunt B
Department of Haematology and Blood Transfusion, James Paget Hospital, Great Yarmouth, Norfolk, England, UK.
Br J Biomed Sci. 1993 Jun;50(2):117-24.
A computerised anticoagulant management system written in Digital Standard MUMPS, and incorporated into an ACT Medisys Computer Integrated Laboratory Management System (CILMS), has been developed. The system will automatically adjust and prescribe warfarin dosage for selected patients and set clinic appointments based upon defined criteria. Other significant features include printed patient dosage cards, cumulative worksheets for clinicians, clinic and transport lists, statistical searches, rapid enquiry facilities and operator alerts. After 20 months of successful running, a system has evolved which has greatly improved the efficiency of the anticoagulant clinic and the quality of anticoagulant control. Significant savings have been made in medical staff time, patient waiting times have been greatly reduced and the stability of warfarin control has increased. The service has more recently been extended to patients controlled by their general practitioners, with all the associated benefits.
已开发出一种用数字标准MUMPS编写并整合到ACT Medisys计算机集成实验室管理系统（CILMS）中的计算机化抗凝管理系统。该系统将根据既定标准自动为选定患者调整和开具华法林剂量，并安排门诊预约。其他显著功能包括打印患者剂量卡、为临床医生提供累积工作表、门诊和转运清单、统计搜索、快速查询设施以及操作员警报。经过20个月的成功运行，该系统不断发展，极大地提高了抗凝门诊的效率和抗凝控制质量。医护人员的时间得到了大幅节省，患者等待时间大幅缩短，华法林控制的稳定性也有所提高。最近，这项服务已扩展到由全科医生管理的患者，并带来了所有相关益处。
