可重复使用的通用临床决策支持系统模块,用于资源限制环境中的免疫推.
Samuil Orlioglu1, Akash Shanmugan Boobalan1, Kojo Abanyie2
1Clemson University, Clemson, SC, USA.
medRxiv : the preprint server for health sciences
|October 14, 2024
概括
本研究引入了临床决策支持系统 (CDSS) 的可重复使用规则,以提高患者安全和护理质量. 基于浏览器的系统确保数据隐私,并允许用户管理的规则修改.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持系统 临床决策支持系统
- 电子健康记录电子健康记录
背景情况:
- 临床决策支持系统 (CDSS) 对于改善医疗保健质量和患者安全至关重要.
- 现有的基于规则的CDSS缺乏规则的可重复使用性,限制了效率和适应性.
- 与电子病历 (EMR) 的整合对于无的临床工作流程至关重要.
研究的目的:
- 开发和介绍一个具有可重复使用规则的新型临床决策支持系统 (CDSS).
- 通过可适应的CDSS,提高患者安全,护理质量和一致性.
- 为了使最终用户能够独立管理和维护CDSS规则.
主要方法:
- 开发了一个通用的CDSS模块,配有EMR特定的适配器.
- 使用临床质量语言 (CQL) 制定规则,基于CDC的免疫推.
- 雇佣的快速医疗互操作性资源 (FHIR) 用于患者数据的表示.
- 设计了一个基于浏览器的,客户端的CDSS,可以在EMR接口中访问.
主要成果:
- 拟议的CDSS架构支持可重复使用的规则,以增强临床决策支持.
- 基于浏览器的客户端实现防止患者数据传输,保护隐私.
- 有助于最终用户独立管理和修改CDSS规则.
- 在OpenMRS和OpenEMR系统中实现了成功的初始部署和测试.
结论:
- 开发的CDSS具有可重复使用的规则,比传统系统提供了显著的进步.
- 客户端架构在临床环境中增强了数据安全性和隐私.
- 赋予最终用户规则管理能力,提高了系统的适应性和实用性.
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