Time for Medicine Limited proposal to applydecision support software to Improve PatientPathways in an Integrated Sexual Health(ISH) Clinic

作为参考网站，调查将决策支持软件引入加的夫综合性健康(ISH)诊所，以便能够确定低风险，无症状的患者，以便更复杂的病例可以被引导至高级ISH临床医生，以满足寻求诊断和治疗疑似性传播感染(STI)的患者的护理目标。目标：·用人工智能复制加的夫临床工作人员使用的传统诊断过程，该过程也将识别相关的必要诊断测试·从患者那里收集匿名数据，ISH临床医生为进行诊断而收集这些数据，并将这些数据输入人工智能决策支持引擎·在格拉摩根大学高级技术系的协助下，使用人工智能软件加上临床和统计算法来构建决策支持软件·测试结果的准确性决策支持引擎与临床医生诊断和治疗建议的金标准相比较·评估，在斯旺西大学卫生经济中心的帮助下，公共资金决策支持引擎的潜在性价比·创建分诊软件和适当的硬件，将患者引导到临床路径，并提供适合他们的临床资源。·为了将该软件引入加的夫临床，建议部署时间医学(TFM)的S决策支持软件，通过将每个患者的需求与适当的护理水平相匹配来简化患者路径，并确保诊所成功地实现了符合英国性健康和艾滋病毒关键表现指标的要求，特别是98%的人获得了预约或无需预约，在联系STI提供商后48小时内。

To investigate, as a reference site, the introduction of decision support software into theCardiff Integrated Sexual Health (ISH) clinic in order to enable identification of low risk,asymptomatic patients so that more complex cases can be directed to senior ISH clinicians in order to meet care targets for patients seeking diagnosis and care for suspected Sexually Transmitted Infections (STIs).Objectives:• To replicate the conventional diagnostic processes used by Cardiff ISH clinical staffwith artificial intelligence that will also identify associated necessary diagnostic tests• To collect anonymised data from patients that ISH clinicians gather in order to make adiagnosis and enter that data into an artificially intelligent decision support engine• To construct with the assistance of the University of Glamorgan Department ofAdvanced Technology decision support software using artificially intelligent software plusclinical and statistical algorithms• To test the accuracy of the resulting decision support engine as compared with thegold standard of the diagnosis and management recommendation of the clinician• To assess, with the help of the Swansea University Centre for Health Economics, thepotential value for money of the decision support engine for the public purse• To create triage software and appropriate hardware to direct patients to the clinicalpathways and ISH clinic resources appropriate for their presentation.• To pilot the introduction of this software into the Cardiff ISH clinicIt is proposed that the deployment of Time for Medicine (TfM)’s decision support softwarewill streamline patient pathways by matching each patient’s needs with the appropriate level of care and ensure that the clinic is successful in achieving compliance with BritishAssociation of Sexual Health and HIV Key Performance Indicators, in particular that 98% ofpeople are offered an appointment, or walk-in, within 48 hours of contacting an STI provider.