Bürkle T, Prokosch H U, Hussak G, Dudeck J
Department of Medical Informatics, University of Giessen, Germany.
Proc AMIA Annu Fall Symp. 1997:61-5.
In this paper we present the introduction of knowledge based functions into clinical routine at Giessen University Hospital. For this purpose a therapy planning module at the medical intensive care unit has been extensively redesigned in order to support the structured documentation of drug prescriptions. After introduction of this new HIS component in January 1996 research has been initiated to establish a basic drug therapy knowledge base. The main components of a knowledge based system have been fully incorporated into the hospital information system WING and are in routine use since December 1996. During a pre-production phase warnings of reminder functions were logged and reviewed by an interdisciplinary team in order to adapt the system to the actual clinical environment. The paper describes experiences during this fine tuning and adaptation process which was necessary to bring a small set of knowledge modules into clinical routine.
在本文中，我们介绍了将基于知识的功能引入吉森大学医院临床常规工作的情况。为此，对医疗重症监护病房的治疗计划模块进行了全面重新设计，以支持药物处方的结构化记录。1996年1月引入这个新的医院信息系统组件后，便启动了建立基本药物治疗知识库的研究。基于知识的系统的主要组件已完全整合到医院信息系统WING中，并自1996年12月起投入日常使用。在预生产阶段，提醒功能的警告由一个跨学科团队进行记录和审查，以便使系统适应实际临床环境。本文描述了在这个微调与适应过程中的经验，这一过程对于将一小部分知识模块引入临床常规工作是必要的。
