ActiveGuidelines: integrating Web-based guidelines with computer-based patient records

ActiveGuidelines: integrating Web-based guidelines with computer-based patient records
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ActiveGuidelines:将基于网络的指南与基于计算机的患者记录相集成

DOI:
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发表时间:
2000
期刊:
American Medical Informatics Association Annual Symposium
影响因子:
--
通讯作者:
Charles Y. Young
Charles Y. Young
中科院分区:
--
文献类型:
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作者:
P. Tang;Charles Y. Young

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万维网的使用提供了一种传播指导方针的有效手段,但在护理时将其纳入工作流程仍然难以捉摸。我们开发了一种方法,ActiveGuideline(AGL),将基于网络的指南与基于计算机的病历(CPR)系统相结合。ActiveGuideline是包含由CPR解释为操作(例如,用药指令、测试指令、转诊、患者说明)的特殊标签的HTML文档。在我们的使用场景中,CPR自动显示与当前患者上下文相关的ActiveGuidline。查看指南后,用户可以直接从ActiveGuideline中选择推荐的订单。选定的订单被自动传输到CPR并作为常规订单执行。ActiveGuideline编辑器便于将现有的HTML格式的指南轻松转换为ActiveGuideline。我们相信,在CPR系统中整合特定于患者的ActiveGuideline将提高常规患者护理中临床指南的利用率。
Use of the World Wide Web provides an efficient means to disseminate guidelines, but integrating them into the workflow at the point of care remains elusive. We developed a method, ActiveGuidelines (AGL), of integrating web-based guidelines with computer-based patient record (CPR) systems. An ActiveGuideline is an HTML document containing special tags that are interpreted by a CPR as actions (e.g., medication order, test order, referral, patient instructions). In our usage scenario, the CPR automatically displays ActiveGuidelines relevant to the current patient context. After reviewing the guideline, the user selects recommended orders directly from the ActiveGuideline. The selected orders are automatically transmitted to the CPR and executed as regular orders. An ActiveGuideline editor facilitates easy conversion of existing HTML-formatted guidelines into ActiveGuidelines. We believe that integrating patient-specific ActiveGuidelines within a CPR system will improve utilization of clinical guidelines in routine patient care.
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