Hammer J S, Strain J J, Lyerly M
University of California, Los Angeles.
Gen Hosp Psychiatry. 1993 Mar;15(2):95-101. doi: 10.1016/0163-8343(93)90105-w.
This paper explores aspects of the need for clinical database management systems that permit ongoing service management, measurement of the quality and appropriateness of care, databased administration of consultation liaison (C-L) services, teaching/educational observations, and research. It describes an OPTICAL SCAN databased management system that permits flexible form generation, desktop publishing, and linking of observations in multiple files. This enhanced MICRO-CARES software system--Medical Application Platform (MAP)--permits direct transfer of the data to ASCII and SAS format for mainframe manipulation of the clinical information. The director of a C-L service may now develop his or her own forms, incorporate structured instruments, or develop "branch chains" of essential data to add to the core data set without the effort and expense to reprint forms or consult with commercial vendors.
本文探讨了临床数据库管理系统的需求方面，该系统应允许进行持续的服务管理、护理质量和适宜性的测量、基于数据库的会诊联络（C-L）服务管理、教学/教育观察以及研究。它描述了一种基于光学扫描的数据库管理系统，该系统允许灵活生成表单、桌面出版以及在多个文件中链接观察结果。这种增强的MICRO-CARES软件系统——医学应用平台（MAP）——允许将数据直接传输到ASCII和SAS格式，以便对临床信息进行大型机处理。C-L服务的主任现在可以自行开发表单、纳入结构化工具，或开发基本数据的“分支链”以添加到核心数据集中，而无需费力和花钱重新打印表单或与商业供应商协商。
