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Developing a Prognostic Information System for Personalized Care in Real Time.

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Physicians can now provide personalized cancer survival information in real time using electronic medical records. A new Prognostic Information System (PRISM) tool leverages the Virtual Data Warehouse (VDW) to aid oncologists in answering patient questions about prognosis.

Keywords:
Electronic health recordsdelivery of health careorganizational innovationpatient-centered care

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Area of Science:

  • Oncology
  • Medical Informatics
  • Health Services Research

Background:

  • Electronic medical records (EMRs) offer potential for real-time clinical decision support.
  • Barriers to EMR utilization for immediate care guidance exist.
  • The Virtual Data Warehouse (VDW) was used to develop a novel tool for personalized cancer prognosis.

Observation:

  • The Prognostic Information System (PRISM) prototype was created to address patient inquiries about similar cases.
  • PRISM is a web-based tool that accesses patient data from electronic health records.
  • It identifies comparable historical patient cohorts and displays their survival curves relative to treatment milestones.

Findings:

  • Successful PRISM development required executive support, a clinical champion, and multidisciplinary collaboration.
  • Iterative user testing and agile software development principles were crucial.
  • Starting with simpler cases facilitated development and refinement.

Implications:

  • Real-time, personalized clinical care is achievable using data from electronic medical records.
  • Prognostic information systems can be rapidly developed through interdisciplinary collaboration.
  • Leveraging existing technologies like the VDW accelerates the creation of advanced clinical tools.