Lee W, Kaiser G E, Clayton P D, Sherman E H
Department of Computer Science, Columbia University, New York, New York, USA.
Proc AMIA Annu Fall Symp. 1996:577-81.
An automated environment for implementing and monitoring care plans and practice guidelines is very important to the reduction of hospital costs and optimization of medical care. The goal of our research effort is to design a general system architecture that facilitates the implementation of (potentially) numerous care plans. Our approach is unique in that we apply the principles and technologies of Oz a multi-user collaborative workflow system that has been used as a software engineering environment framework, to hospital care planning. We utilize not only the workflow modeling and execution facilities of Oz, but also its open-system architecture to interface it with the World Wide Web, the Medical Logic Module server, and other components of the clinical information system. Our initial proof-of-concept system, OzCare, is constructed on top of the existing Oz system. Through several experiments in which we used this system to implement some Columbia-Presbyterian Medical Center care plans, we demonstrated that our system is capable and flexible for care plan automation.
一个用于实施和监控护理计划及实践指南的自动化环境对于降低医院成本和优化医疗护理非常重要。我们研究工作的目标是设计一种通用系统架构，以促进（可能）众多护理计划的实施。我们的方法独特之处在于，我们将Oz（一个已用作软件工程环境框架的多用户协作工作流系统）的原理和技术应用于医院护理计划。我们不仅利用Oz的工作流建模和执行设施，还利用其开放系统架构将其与万维网、医学逻辑模块服务器及临床信息系统的其他组件进行接口连接。我们最初的概念验证系统OzCare是在现有Oz系统之上构建的。通过几次使用该系统来实施一些哥伦比亚长老会医学中心护理计划的实验，我们证明了我们的系统在护理计划自动化方面是有能力且灵活的。
