''Just in time'' clinical information
''Just in time'' clinical information
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DOI：
10.1097/00001888-199706000-00016
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发表时间：
1997-06-01
影响因子：
7.4
通讯作者：
Barnett, GO
中科院分区：
文献类型：
--
作者：
Chueh, H;Barnett, GO
准时制（JIT）模型起源于制造业，作为一种管理零件库存流程的方法，以便在适当的时间（即“准时制”）提供特定的组件。这种准时化模型可应用于临床信息库存的管理，以便临床医生在做出临床护理决策时，可以在最需要的时候更立即地访问最新、最相关的信息。作者讨论了管理临床信息的传统模式，然后描述了如何开发和实施一种新的JIT模式，他们描述了JIT模式可能使用的信息范围的临床医生-信息交互的三种模式（全球信息或地方、具体案件信息），以及实施这种信息获取模式所带来的挑战，他们讨论了JIT信息访问如何改变医生的行医方式，JIT信息的各种传递方式，以及对电子发布和访问的信息资源的可信度的关注。
The just-in-time (JIT) model originated in the manufacturing industry as a way to manage parts inventories process so that specific components could be made available at the appropriate times (that is, ''just in time''). This JIT model can be applied to the management of clinical information inventories, so that clinicians can have more immediate access to the most current and relevant information at the time they most need it-when making clinical care decisions. The author discuss traditional modes of managing clinical information, and then describe how a new, JIT model may be developed and implemented, They describe three modes of clinician-information interactions that a JIT model might employ the scope of information that may be made available in a JIT model (global information or local, case-specific information), and the challenges posed by the implementation of such an information-access model, Finally, they discuss how JIT information access may change how physicians practice medicine, various ways JIT information may be delivered, and concerns about the trustworthiness of electronically published and accessed information resources.