Boon-Falleur L, Sokal E, Peters M, Ketelslegers J M
Cliniques Universitaires St Luc, Univesité Catholique de Louvain (UCL), Brussels, Belgium.
Proc Annu Symp Comput Appl Med Care. 1995:314-8.
The appropriate management of clinical laboratory requests in specialised clinical units often requires the adherence to pre-defined protocols. We evaluated the impact of a rule-based expert system for clinical laboratory investigations management in a pediatric liver transplantation unit of our hospital. After one year, we observed an overall reduction in laboratory resources consumption for transplanted patients (-27%) and a decrease in the percentage of "STAT" requested tests (-44%). The percentage of tests ordered in agreement with the protocols for those patients increased from 33% before the introduction of the expert system to 45% when the system was used. The system was perceived by the clinicians as increasing the overall benefits in use of clinical resources, improving the laboratory data management, and saving time for the execution of laboratory ancillary tasks.
在专科临床科室中,对临床实验室申请进行恰当管理通常需要遵循预先定义的方案。我们评估了一个基于规则的专家系统对我院儿科肝移植科室临床实验室检查管理的影响。一年后,我们观察到移植患者的实验室资源消耗总体减少了27%,“急诊”申请检测的比例下降了44%。对于这些患者,按照方案订购的检测比例从专家系统引入前的33%增加到使用该系统时的45%。临床医生认为该系统增加了临床资源使用的总体效益,改善了实验室数据管理,并节省了执行实验室辅助任务的时间。