Connelly D P, Sielaff B H, Willard K E
Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis 55455, USA.
Clin Chim Acta. 1996 Apr 15;248(1):51-64. doi: 10.1016/0009-8981(95)06265-3.
Driven to make timely decisions, doctors may act with less than all of the relevant patient data. Sub-optimal use of clinical laboratory resources can result. Our clinicians' workstation (CWS) is meant to provide doctors and nurses ready access to laboratory results in a form that makes the data easy to review and use. In addition, the workstation provides immediate feedback regarding blood orders, to encourage appropriate clinical practice. Feedback is based on the medical staff's clinical guidelines that have been incorporated into an embedded expert system. CWS also helps blood bank physicians to monitor, review and control requests for special needs such as irradiated products. Challenges to system acceptance await those trying to bring functional decision support to the clinical environment. Among these are barriers to understanding and cooperation posed by departmental boundaries and interacting professional cultures as well as the politics of hospital-based information systems.
由于需要及时做出决策，医生可能在未掌握所有相关患者数据的情况下就采取行动。这可能导致临床实验室资源的利用不够理想。我们的临床医生工作站（CWS）旨在为医生和护士提供便捷的实验室结果获取途径，使数据易于查看和使用。此外，该工作站还能就血液订单提供即时反馈，以鼓励适当的临床实践。反馈基于已纳入嵌入式专家系统的医务人员临床指南。CWS还有助于血库医生监控、审查和控制对特殊需求产品（如辐照血液制品）的请求。那些试图为临床环境带来功能性决策支持的人面临着系统接受方面的挑战。其中包括部门界限、相互作用的专业文化以及医院信息系统的政治因素所带来的理解和合作障碍。
