Day F, Hoang L P, Ouk S, Nagda S, Schriger D L
UCLA Emergency Medicine Center, UCLA School of Medicine, USA.
Proc Annu Symp Comput Appl Med Care. 1995:576-80.
Federal guidelines for the treatment of acute low back pain were locally modified and made more specific. These guidelines were then programmed into a rule-based computer charting system which provides real-time advice regarding documentation, testing, treatment, and disposition of emergency department patients with this condition. In a time-series off-on experiment the system was shown to significantly improve documentation of the medical record and discharge instructions. There was little effect on the appropriateness of testing and treatment and the cost of care. These findings contrast with our previous experiment using a similar program for the care of health care workers exposed to body fluids. In that study both the appropriateness of care and the cost-effectiveness of care were substantially improved.
联邦急性下背痛治疗指南在当地进行了修改并更加细化。这些指南随后被编入一个基于规则的计算机图表系统，该系统可为患有这种疾病的急诊科患者提供有关病历记录、检查、治疗和处置的实时建议。在一项时间序列的开-关实验中，该系统被证明能显著改善病历记录和出院指导。对检查和治疗的合理性以及护理成本几乎没有影响。这些发现与我们之前使用类似程序护理接触体液医护人员的实验形成对比。在那项研究中，护理的合理性和护理的成本效益都得到了显著提高。
