Integrating Arden-Syntax-based clinical decision support with extended presentation formats into a commercial patient data management system.
The purpose of this study was to introduce clinical decision support (CDS) that exceeds conventional alerting at tertiary care intensive care units. We investigated physicians' functional CDS requirements in periodic interviews, and analyzed technical interfaces of the existing commercial patient da...
| Publicado en: | Journal of Clinical Monitoring & Computing Vol. 28; no. 5; pp. 465 - 474 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Oct2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109755974&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109755974 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13871307 OHC jtl: Journal of Clinical Monitoring & Computing issn: 13871307 maglogo: N pubinfo: dt: Oct2014 vid: 28 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 109755974 NLM23354988 2012735997 10.1007/s10877-013-9430-0 NLM23354988 109755974 ppf: 465 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Integrating Arden-Syntax-based clinical decision support with extended presentation formats into a commercial patient data management system. aug: au: Kraus, Stefan Castellanos, Ixchel Toddenroth, Dennis Prokosch, Hans-Ulrich Bürkle, Thomas affil: Center for Communication and Information Technology, University Hospital Erlangen, Erlangen, Germany, stefan.kraus@uk-erlangen.de. sug: subj: Decision Support Systems, Clinical Decision Support Techniques Management Information Systems Germany Academic Medical Centers Human Intensive Care Units Medical Informatics Monitoring, Physiologic Hospitals, Special ab: The purpose of this study was to introduce clinical decision support (CDS) that exceeds conventional alerting at tertiary care intensive care units. We investigated physicians' functional CDS requirements in periodic interviews, and analyzed technical interfaces of the existing commercial patient data management system (PDMS). Building on these assessments, we adapted a platform that processes Arden Syntax medical logic modules (MLMs). Clinicians demanded data-driven, user-driven and time-driven execution of MLMs, as well as multiple presentation formats such as tables and graphics. The used PDMS represented a black box insofar as it did not provide standardized interfaces for event notification and external access to patient data; enabling CDS thus required periodically exporting datasets for making them accessible to the invoked Arden engine. A client-server-architecture with a simple browser-based viewer allows users to activate MLM execution and to access CDS results, while an MLM library generates hypertext for diverse presentation targets. The workaround that involves a periodic data replication entails a trade-off between the necessary computational resources and a delay of generated alert messages. Web technologies proved serviceable for reconciling Arden-based CDS functions with alternative presentation formats, including tables, text formatting, graphical outputs, as well as list-based overviews of data from several patients that the native PDMS did not support. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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