Patient-directed intelligent an interactive computer medical history-gathering systems: A utility and feasibility study in the emergency department
Patient-directed intelligent an interactive computer medical history-gathering systems: A utility and feasibility study in the emergency department
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DOI：
10.1016/j.ijmedinf.2006.01.006
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发表时间：
2007-04-01
影响因子：
4.9
通讯作者：
Zarnke, Kelly
中科院分区：
文献类型：
--
作者：
Benaroia, Mark;Elinson, Roman;Zarnke, Kelly
简介：患者可以作为一种资源输入自己的相关医疗信息。本研究将评估一个智能计算机病史采集设备的可行性，针对患者在急诊科（艾德）。方法：两个作者（MB，RE）开发了一个专家系统，可以采取患者为导向的病史。病人在艾德候诊室与电脑互动，电脑根据主诉（CC）收集病史。在病史后完成了一项调查。一项子研究评估了计算机获取索引CC的适当病史的能力。我们比较了计算机和急诊医生的历史的存在或不存在的重要的历史elements.Results：67例患者使用交互式计算机系统。完成病史的平均时间为5 min 32 ± 1 min 21 s。患者反应率为97%。超过83%的受访者认为计算机非常容易使用，超过92%的人会再次使用计算机。子研究共评价了15例腹痛患者（指数CC）。计算机历史询问了90 +/-7%，急诊医生询问了55 +/-18%的重要历史元素。这些组之间的差异有统计学意义，p值<0.00001。结论：本可行性研究表明，计算机病史采集设备是很好的接受病人，这样的系统可以集成到正常的过程中的病人分诊，而不会延误病人的护理。这样的系统可以用作直接从患者进行记录和数据采集的初始模式。(c)2006爱思唯尔爱尔兰有限公司保留所有权利。
Introduction: Patients can be used as a resource to enter their own pertinent medical information. This study will evaluate the feasibility of an intelligent computer medical history-taking device directed at patients in the emergency department (ED).Methods: Two of the authors (MB, RE) developed an expert system that can take patient-directed medical histories. Patients interacted with the computer in the ED waiting room while it gathered a medical history based on chief complaint (CC). A survey was completed post history. A sub-study assessed the computer's ability to take an adequate history for an index CC. We compared the computer and emergency physician histories for the presence or absence of important historical elements.Results: Sixty-seven patients used the interactive computer system. The mean time to complete the history was 5 min and 32 +/- 1 min and 21 s. The patient response rate was 97%. Over 83% felt that the computer was very easy to use and over 92% would very much use the computer again. A total of 15 patients with abdominal pain (index CC) were evaluated for the sub-study. The computer history asked 90 +/- 7%, and the emergency physician asked 55 +/- 18%, of the important historical elements. These groups were statistically different with a p-value of < 0.00001.Conclusion: This feasibility study has shown that the computer history-taking device is well accepted by patients and that such a system can be integrated into the normal process of patient triage without delaying patient care. Such a system can serve as an initial mode for documentation and data acquisition directly from the patient. (c) 2006 Elsevier Ireland Ltd. All rights reserved.