Design and implementation of a comprehensive outpatient Results Manager
Design and implementation of a comprehensive outpatient Results Manager
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DOI：
10.1016/s1532-0464(03)00061-3
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发表时间：
2003-02-01
影响因子：
4.5
通讯作者：
Kuperman, GJ
中科院分区：
文献类型：
--
作者：
Poon, EG;Wang, SJ;Kuperman, GJ
先前的研究表明，临床医生往往不能及时和适当地审查和采取行动门诊测试结果。为了解决这一患者安全和护理质量问题，Partners Healthcare开发了一个基于浏览器、以提供商为中心的综合结果管理应用程序，以帮助临床医生以安全、可靠和高效的方式审查和处理测试结果。该应用程序名为结果管理器，包含广泛的决策支持功能，可对每个结果的异常程度进行分类，提供指导方针以帮助临床医生管理异常结果，允许临床医生使用预定义的上下文敏感模板向患者生成结果信函，并提示医生为未来的测试设置提醒。在本文中，我们概述了结果管理器的设计过程和功能。我们还讨论了它的基础架构设计，它围绕着一个临床事件监视器和一个规则引擎，以及在设计这个应用程序中遇到的方法学挑战。(C)2003年爱思唯尔公司All rights reserved.
Prior research has demonstrated that clinicians often fail to review and act upon outpatient test results in a timely and appropriate manner. To address this patient safety and quality of care issue, Partners Healthcare has developed a browser-based, provider-centric, comprehensive results management application to help clinic physicians review and act upon test results in a safe, reliable, and efficient manner. The application, called the Results Manager, incorporates extensive decision support features to classify the degree of abnormality for each result, presents guidelines to help clinicians manage abnormal results, allows clinicians to generate result letters to patients with predefined, context-sensitive templates and prompts physicians to set reminders for future testing. In this paper, we outline the design process and functionality of Results Manager. We also discuss its underlying architectural design, which revolves around a clinical event monitor and a rules engine, and the methodological challenges encountered in designing this application. (C) 2003 Elsevier Inc. All rights reserved.