PATIENT CARE PROVIDER ORDER ENTRY WITH TACTICAL SUPPORT

描述（摘自项目摘要）：韦伯斯特的第三个新的 国际词典（未删节）（Merriam-Webster，Inc.，斯普林菲尔德 MA，1986）将战术定义为：“利用可用资源的艺术或技能 有目的的力量”。 通过注意力集中机制 由直接医疗保健提供者订单输入提供，患者护理 提供商订单输入与战术支持（PC-POETS）项目将开发 利用以患者为中心的决策支持能力的策略 逻辑性强、简单明了、高效。 PC-POETS的中心主题 项目是病人护理提供者将他们的决定转化为行动 在写订单的时候，所以提供决策支持的干预是 通过订单输入系统进行优化。 该项目将 完成范德比尔特已经在进行的基于PC的 与患者护理提供者订单输入系统的接口， 提供决策支持能力的平台。 该项目将测试一个基本的和长期持有的原则，在医疗 信息学：“好的顾问不缺客户”（莎士比亚，衡量 测量）-即，医疗决策支持系统将得到广泛的应用， 接受当通过一个 通用平台和接口。 与PC-POETS系统有关的子部件 决策支持能力包括：（a）自动或半自动 关于患者用药的药理学建议：药物专论， 过敏警报、药物-药物相互作用、费用指数，（B）自动或 半自动链接到关于患者诊断的文献， 治疗干预：基于UML的索引和检索相关 引文和摘要，与QMR的自动或半自动链接 支持诊断决策的知识库，（d）审查能力 指定订单（实验室、药房、放射科）的费用/成本 患者特异性基础，（e）患者特异性提醒，（f）抗生素 订购工具，以帮助建议具有成本效益的方案，（g）自动化或 将过去或当前建议的订单与 指定的订单时间表（“临床路径”），提供对 相似性和差异，（h）患者状态总结工具， 患者状态在短时间内发生显著变化，例如 12至72小时 该职能将审查实验室和其他数据 在MARS系统中可以回答这个问题，“发生了什么事？ 在过去的12-72小时内，患者？（一）在评价过程中， 项目的前18个月，以及（j）随机对照试验， 在最后18个月的临床环境中评估PC-POETS， 拟议项目。

DESCRIPTION (Taken from project abstract): Webster's Third New International Dictionary (unabridged) (Merriam-Webster, Inc., Springfield MA, 1986) defines tactics as: "the art or skill of employing available forces with an end in view". Through the attention-focusing mechanism provided by direct health-care provider order entry, the Patient Care Provider Order Entry with Tactical Support (PC-POETS) project will develop tactics that make the use of patient-centered decision support capabilities logical, straightforward, and efficient. The central theme of the PC-POETS project is that patient care providers convert their decisions into actions at the time of order-writing, so intervention to provide decision support is implemented optimally through an order entry system. The project will complete the development, already under way at Vanderbilt, of a PC-based interface to a patient care provider order entry system, which will serve as the platform for delivering decision support capabilities. The project will test a fundamental and long-held tenet in medical informatics: "Good counselors lack no clients" (Shakespeare, Measure for Measure) - i.e., that medical decision support systems will gain widespread acceptance when a critical mass of functionality is made available through a common platform and interface. Subcomponents of the PC-POETS system related to decision support capabilities include: (a) automated or semi-automated pharmacological advice regarding a patient's medications: drug monographs, allergy alerts, drug-drug interactions, index of expenses, (b) automated or semi-automated links to the literature regarding a patients diagnoses and therapeutic interventions: UMLS-based indexing and retrieval of relevant citations and abstracts, automated or semi-automated linkages to the QMR Knowledge Base for diagnostic decision support, (d) ability to review charges/costs for given orders (lab, pharmacy, radiology) on a patient-specific basis, (e) patient-specific reminders, (f) an antibiotic ordering tool to help suggest cost-effective regimens, (g) automated or semi-automated comparison of past or currently proposed orders to a specified schedule of orders ("clinical pathway"), providing a critique of similarities and differences, (h) a patient status summary tool that reviews significant changes in a patients status over a short time interval, such as 12 to 72 hours. The function will review laboratory and other data available in the MARS system to answer the question, "What happened to the patient during the last 12-72 hours?", (I) formative evaluation during the first 18 months of the project, and (j) a randomized controlled trial to evaluate PC-POETS in the clinical setting during the final 18 months of the proposed project.