Using electronic health record alerts to provide public health situational awareness to clinicians
Using electronic health record alerts to provide public health situational awareness to clinicians
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DOI：
10.1136/jamia.2009.000539
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发表时间：
2010-03-01
影响因子：
6.4
通讯作者：
Calman, Neil
中科院分区：
文献类型：
--
作者：
Lurio, Joseph;Morrison, Frances P.;Calman, Neil
提醒服务提供者注意公共卫生状况需要及时性和背景相关性，而这两点在目前的系统中都缺乏。将决策支持工具嵌入到电子健康记录中可以提供一种在护理点向临床医生部署公共卫生警报的方法。一个社区卫生中心网络开发了一个及时响应纽约市卫生和心理卫生部发出的健康警报网络信息的程序。创建了带有命令集和建议行动的警报，以通知当地疾病爆发的初级保健提供者。描述了军团菌、产毒大肠杆菌和麻疹暴发警报的过程、效果和经验教训。电子警报有可能在疫情爆发期间改善疾病管理，包括适当的实验室检测、管理指导和诊断援助，并加强临床和公共卫生组织之间的双向数据交换。
Alerting providers to public health situations requires timeliness and context-relevance, both lacking in current systems. Incorporating decision support tools into electronic health records may provide a way to deploy public health alerts to clinicians at the point of care. A timely process for responding to Health Alert Network messages sent by the New York City Department of Health and Mental Hygiene was developed by a network of community health centers. Alerts with order sets and recommended actions were created to notify primary care providers of local disease outbreaks. The process, effect, and lessons learned from alerts for Legionella, toxogenic E coli, and measles outbreaks are described. Electronic alerts have the potential to improve management of diseases during an outbreak, including appropriate laboratory testing, management guidance, and diagnostic assistance as well as to enhance bidirectional data exchange between clinical and public health organizations.