Delaney D P, Zibrak J D, Samore M, Peterson M
Department of Pulmonary Medicine, Beth Israel Deaconess Medical Center, USA.
Proc AMIA Annu Fall Symp. 1997:7-11.
We designed and built an application called MD Assist that compiles data from several hospital databases to create reports used for daily house officer rounding in the medical intensive care unit (MICU). After rounding, the report becomes the objective portion of the daily "SOAP" MICU progress note. All data used in the automated note was available in digital format residing in an institution wide Sybase data repository which had been built to fulfill data needs of the parent enterprise. From initial design of target output through actual creation and implementation in the MICU, MD Assist was created by physicians with only consultative help from information systems (IS). This project demonstrated a method for rapidly developing time saving, clinically useful applications using a comprehensive clinical data repository.
我们设计并构建了一个名为MD Assist的应用程序,该程序从多个医院数据库中收集数据,以创建用于医疗重症监护病房(MICU)日常住院医师查房的报告。查房后,该报告成为每日MICU “SOAP” 病程记录的客观部分。自动病程记录中使用的所有数据均以数字格式存储在一个全机构范围的Sybase数据存储库中,该存储库是为满足母公司的数据需求而构建的。从目标输出的初始设计到在MICU中的实际创建和实施,MD Assist是由医生创建的,信息系统(IS)仅提供咨询帮助。该项目展示了一种利用综合临床数据存储库快速开发节省时间且临床有用的应用程序的方法。