网上可访问的临床医生紧急通知的临界极限和临界值
Gerald J Kost1,2,3, Jenna Dohner4, Janet Liu4
1Department of Pathology and Laboratory Medicine, School of Medicine, Davis, CA, USA.
Clinical chemistry and laboratory medicine
|April 20, 2024
概括
自20世纪90年代以来,临界实验室值大幅扩大,血液气体,化学和血液学测试发生了显著变化. 这凸显了评估临床影响和改善紧急通报实践可访问性的必要性.
科学领域:
- 临床实验室科学 临床实验室科学
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
背景情况:
- 临界限/临界值对于及时的患者干预至关重要.
- 之前对临界值值的评估是在20世纪90年代初进行的.
- 互联网已成为传播医疗保健信息的重要平台.
研究的目的:
- 为了调查万维网的关键极限/值.
- 评估自1990-1993年以来数量值的变化.
- 简化紧急通知实践,促进全球可访问性.
主要方法:
- 识别了大学医院在网上发布的临界限/临界值.
- 将2023年的数据与1990年至1993年的档案通知门进行比较.
主要成果:
- 发现了26所大学医院的关键通知列表,中位数为62个测试.
- 在2023年和1990-93年之间观察到血液气体,化学和血液学测试的临界值的显著差异.
- 指出了定性关键值的扩大和生物恐怖主义/传染病原体的纳入.
结论:
- 紧急通知应优先考虑危及生命的情况.
- 扩展的通知列表需要对临床影响和自动化潜力的评估.
- 网络可访问性和人工智能可以增强知识共享并改善重症监护实践.
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