A novel clinician interface to improve clinician access to up-to-date genetic results.
A novel clinician interface to improve clinician access to up-to-date genetic results.
复制标题
一种新颖的临床医生界面，可提高临床医生获取最新遗传结果的能力。
DOI：
10.1136/amiajnl-2013-001965
复制
发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Bates,DavidW
中科院分区：
文献类型：
--
作者：
Wilcox,AllisonR;Neri,PamelaM;Volk,LynnA;Newmark,LisaP;Clark,EugeneH;Babb,LawrenceJ;Varugheese,Matthew;Aronson,SamuelJ;Rehm,HeidiL;Bates,DavidW
ObjectivesTo了解GeneInsight诊所（GIC），一个基于网络的工具，旨在管理遗传信息和促进从实验室到诊所的测试结果和变异更新的沟通的影响，我们测量了GIC的使用和新的遗传知识所需的时间，以提供给clinics.MethodsUsage数据收集在四个研究地点的GIC推出和后GIC实施的时间段。主要结果的措施之间的时间（平均天数）的变化批准和通知的诊所工作人员，通知和查看patient record.ResultsPost-GIC之间的时间，变化批准和供应商通知之间的时间短于发射（平均天数在发射503.8，相比4.1天后GIC）。在启动时发送电子邮件警报后，提供者点击了与91%的警报相关的患者记录。在后期，诊所提供者点击与95%的警报相关的患者记录，平均在电子邮件发送后12天。讨论我们发现，GIC大大增加了提供者接收更新的变体信息的可能性，并减少了与分发该变体信息相关的时间，结论我们的研究结果表明，卫生信息技术系统有潜力有效地帮助提供者利用遗传信息，病人护理。
ObjectivesTo understand the impact of GeneInsight Clinic (GIC), a web-based tool designed to manage genetic information and facilitate communication of test results and variant updates from the laboratory to the clinics, we measured the use of GIC and the time it took for new genetic knowledge to be available to clinicians.MethodsUsage data were collected across four study sites for the GIC launch and post-GIC implementation time periods. The primary outcome measures were the time (average number of days) between variant change approval and notification of clinic staff, and the time between notification and viewing the patient record.ResultsPost-GIC, time between a variant change approval and provider notification was shorter than at launch (average days at launch 503.8, compared to 4.1 days post-GIC). After e-mail alerts were sent at launch, providers clicked into the patient record associated with 91% of these alerts. In the post period, clinic providers clicked into the patient record associated with 95% of the alerts, on average 12 days after the e-mail was sent.DiscussionWe found that GIC greatly increased the likelihood that a provider would receive updated variant information as well as reduced the time associated with distributing that variant information, thus providing a more efficient process for incorporating new genetic knowledge into clinical care.ConclusionsOur study results demonstrate that health information technology systems have the potential effectively to assist providers in utilizing genetic information in patient care.