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Hospital rules-based system: the next generation of medical informatics for patient safety.

Purpose. The hospital rules-based system (HRBS) and its subsystems at a major medical center are described. Summary. The HRBS was implemented at the Mayo Clinic to rapidly identify and communicate crucial information to the clinician in order to optimize patient care. The system also enhances worklo...

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Published in:American Journal of Health-System Pharmacy Vol. 62; no. 5; pp. 499 - 506
Main Authors: Wilson JW, Oyen LJ, Ou NN, McMahon MM, Thompson RL, Manahan JM, Graner KK, Lovely JK, Estes LL
Format: tables/charts Journal Article
Published: Oxford University Press / USA 3/1/2005
Online Access:View this record in EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Hospital rules-based system: the next generation of medical informatics for patient safety.
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        au:
          Wilson JW
          Oyen LJ
          Ou NN
          McMahon MM
          Thompson RL
          Manahan JM
          Graner KK
          Lovely JK
          Estes LL
        affil: Consultant, Division of Infectious Diseases, Mayo Clinic, Rochester, MN
      sug:
        subj:
          Medical Informatics
          Patient Safety
          Academic Medical Centers
          Electronic Order Entry
          Infection Control
          Minnesota
          Nutrition
          Pharmacy and Pharmacology
      ab: Purpose. The hospital rules-based system (HRBS) and its subsystems at a major medical center are described. Summary. The HRBS was implemented at the Mayo Clinic to rapidly identify and communicate crucial information to the clinician in order to optimize patient care. The system also enhances workload efficiency and improves documentation and communication. The system is used by the infectious-diseases division, pharmacy services, nutritional support services, infection control, and the nursing department. The six HRBS subsystems are Web-based programs that share a common structural design and integrate computerized information from multiple institutional databases. The integrated data are presented in a user-friendly format that improves the efficiency of data retrieval. Information, such as monitoring notes and intervention information, can be entered for specific patients. The subsystems use rules designed to detect suboptimal therapy or monitoring and identify opportunities for cost savings in a timely manner. Conclusion. The HRBS enhances the identification of drug-related problems while optimizing patient care and improving communication and efficiency at a major medical center.
      pubtype: Academic Journal
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        Journal Article
      ougenre: Article
    language: English
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