Vissers M C, Hasman A, van der Linden C J
Department of Medical Informatics, University of Limburg, Maastricht, The Netherlands.
Int J Biomed Comput. 1996 Jul;42(1-2):143-50. doi: 10.1016/0020-7101(96)01193-2.
A protocol processing system (ProtoVIEW), containing therapeutic trauma protocols, was used in the Accident and Emergency (A and E) department for a period of 7 months to investigate the impact of automated protocols on firstly, medical decision making of physicians and secondly, on quality of treatments eventually received by the patients. A randomized controlled trial showed that mandatory use of the system led to a more uniform working strategy while fracture treatment only seemed to improve in a subgroup of patient for whom residents established a correct diagnosis.
一个包含治疗创伤方案的协议处理系统(ProtoVIEW)在急诊部使用了7个月,以调查自动化协议对以下两方面的影响:第一,医生的医疗决策;第二,患者最终接受的治疗质量。一项随机对照试验表明,强制使用该系统会导致工作策略更加统一,而仅在住院医生做出正确诊断的患者亚组中,骨折治疗似乎有所改善。