A description and functional taxonomy of rule-based decision support content at a large integrated delivery network
A description and functional taxonomy of rule-based decision support content at a large integrated delivery network
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DOI：
10.1197/jamia.m2364
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发表时间：
2007-07-01
影响因子：
6.4
通讯作者：
Middleton, Blackford
中科院分区：
文献类型：
--
作者：
Wright, Adam;Goldberg, Howard;Middleton, Blackford
目的：本研究旨在开发一个基于规则的临床决策支持的功能分类法。设计：基于规则的临床决策支持内容的大型综合交付网络与基于计算机的即时护理决策支持的历史悠久，进行了审查和分析沿着四个功能维度：触发，输入数据元素，干预措施，并提供选择。结果：共审查了181种规则类型，包括7 120种不同的规则使用情况。在这四个类别中共鉴定了42个分类群。许多规则在一个给定的类别中属于多个分类单元。输入的订单和存储的实验室结果是最常见的触发因素;实验室结果、药物列表和医院单位是最常用的数据元素。通知和日志是最常见的干预措施，和写命令，推迟警告，和重写规则是最常见的提供choice.Conclusion：一个相对较小的类群成功地描述了大量的临床知识。这些分类群可以直接映射到临床系统和决策支持系统的功能，为临床信息系统的开发者、实施者和认证者提供功能指导。
Objective: This study sought to develop a functional taxonomy of rule-based clinical decision support.Design: The rule-based clinical decision support content of a large integrated delivery network with a long history of computer-based point-of-care decision support was reviewed and analyzed along four functional dimensions: trigger, input data elements, interventions, and offered choices.Results: A total of 181 rule types were reviewed, comprising 7,120 different instances of rule usage. A total of 42 taxa were identified across the four categories. Many rules fell into multiple taxa in a given category. Entered order and stored laboratory result were the most common triggers; laboratory result, drug list, and hospital unit were the most frequent data elements used. Notify and log were the most common interventions, and write order, defer warning, and override rule were the most common offered choices.Conclusion: A relatively small number of taxa successfully described a large body of clinical knowledge. These taxa can be directly mapped to functions of clinical systems and decision support systems, providing feature guidance for developers, implementers, and certifiers of clinical information systems.