Kuperman G J, Teich J M, Bates D W, Hiltz F L, Hurley J M, Lee R Y, Paterno M D
Center for Applied Medical Information Systems Research, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Proc AMIA Annu Fall Symp. 1996:704-8.
We developed and evaluated a system to automatically identify serious clinical conditions in inpatients. The system notifies the patient's covering physician via his pager that an alert is present and offers potential therapies for the patient's condition (action items) at the time he views the alert information. Over a 6 month period, physicians responded to 1214 (70.2%) of 1730 alerts for which they were paged; they responded to 1002 (82.5% of the 1214) in less than 15 minutes. They said they would take action in 71.5% of the alerts, and they placed an order directly from the alert display screen in 39.4%. Further study is needed to determine if this alerting system improves processes or outcomes of care.
我们开发并评估了一个用于自动识别住院患者严重临床状况的系统。该系统通过寻呼机通知负责该患者的医生有警报，并在医生查看警报信息时为患者的病情提供潜在治疗方法（行动项目）。在6个月的时间里，医生对传呼他们的1730次警报中的1214次（70.2%）做出了回应；其中1002次（占1214次的82.5%）在不到15分钟内做出了回应。他们表示会对71.5%的警报采取行动，并且有39.4%是直接从警报显示屏上下达医嘱。需要进一步研究以确定该警报系统是否能改善医疗流程或护理结果。
