Willard K E, Hallgren J H, Sielaff B, Connelly D P
Medical Decision Support Group, University of Minnesota Hospital and Clinic, USA.
Proc Annu Symp Comput Appl Med Care. 1995:771-5.
The development of Web technologies has revolutionized information dissemination on the Internet. The University of Minnesota Hospital and Clinic's Web Clinical Information System (CIS) demonstrates the use of the Web as an infrastructure for deploying a medical information system at a fraction of the developmental cost of more traditional client server systems. This Web CIS has been deployed since December 1994. It makes available laboratory results, including a radically improved clinical microbiology reporting system, ad hoc laboratory order entry, and an embedded expert system protocol laboratory ordering system. It provides these services to any physician or patient care area with TCP (or SLIP/PPP) connection to our hospital network backbone, whether the client computer is running MS Windows, the Macintosh OS, or X-Windows. A formal evaluation of one of this systems subcomponents, the display of clinical microbiology information, demonstrated a significant savings in clinician time (43% p < .001) and substantial reduction in interpretive errors (0 vs 15 p < .01).
网络技术的发展彻底改变了互联网上的信息传播方式。明尼苏达大学医院及诊所的网络临床信息系统（CIS）展示了如何将网络用作一种基础设施，以较低的开发成本部署医疗信息系统，而传统的客户端服务器系统开发成本要高得多。这个网络CIS自1994年12月起开始部署。它提供实验室结果，包括一个显著改进的临床微生物学报告系统、临时实验室订单录入以及一个嵌入式专家系统协议实验室订单系统。它通过TCP（或SLIP/PPP）连接到我们医院的网络主干，为任何医生或患者护理区域提供这些服务，无论客户端计算机运行的是MS Windows、Macintosh操作系统还是X-Windows。对该系统的一个子组件——临床微生物学信息显示进行的正式评估表明，临床医生的时间显著节省（43%，p < .001），解释错误大幅减少（从15例降至0例，p < .01）。
