Rapid response to COVID-19: health informatics support for outbreak management in an academic health system
Rapid response to COVID-19: health informatics support for outbreak management in an academic health system
复制标题
DOI：
10.1093/jamia/ocaa037
复制
发表时间：
2020-06-01
影响因子：
6.4
通讯作者：
Longhurst, Christopher A.
中科院分区：
文献类型：
--
作者：
Reeves, J. Jeffery;Hollandsworth, Hannah M.;Longhurst, Christopher A.
目的：介绍优化新冠肺炎大流行临床管理的重要技术支持实施情况。材料和方法：我们的卫生系统已确认既往和当前的COVID-19病例。在危机早期建立了一个事件指挥中心，帮助确定基于电子健康记录（EHR）的工具，以支持临床护理。结果：我们概述了与COVID-19相关的基于ehr的快速筛查流程、实验室检测、临床决策支持、报告工具和面向患者的技术的设计和实施。讨论：电子病历是一个有用的工具，可以实现标准化流程的快速部署。加州大学圣地亚哥分校健康中心构建了多个针对covid -19的工具来支持疫情管理，包括脚本分类、电子登记、标准订购和文档、安全消息传递、实时数据分析和远程医疗功能。挑战包括需要经常调整构建，以满足快速变化的需求、沟通和采用，并协调多个利益攸关方的需求，同时保持高质量的大流行前医疗服务。结论：电子病历是支持卫生系统管理COVID-19大流行的临床需求的重要工具。
Objective: To describe the implementation of technological support important for optimizing clinical management of the COVID-19 pandemic.Materials and Methods: Our health system has confirmed prior and current cases of COVID-19. An Incident Command Center was established early in the crisis and helped identify electronic health record (EHR)-based tools to support clinical care.Results: We outline the design and implementation of EHR-based rapid screening processes, laboratory testing, clinical decision support, reporting tools, and patient-facing technology related to COVID-19.Discussion: The EHR is a useful tool to enable rapid deployment of standardized processes. UC San Diego Health built multiple COVID-19-specific tools to support outbreak management, including scripted triaging, electronic check-in, standard ordering and documentation, secure messaging, real-time data analytics, and telemedicine capabilities. Challenges included the need to frequently adjust build to meet rapidly evolving requirements, communication, and adoption, and to coordinate the needs of multiple stakeholders while maintaining high-quality, prepandemic medical care.Conclusion: The EHR is an essential tool in supporting the clinical needs of a health system managing the COVID-19 pandemic.