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An integrated approach for a knowledge-based clinical workstation: architecture and experience.

机译:基于知识的临床工作站的集成方法:体系结构和经验。

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摘要

Today, the demand for medical decision support to improve the quality of patient care and to reduce costs in health services is generally recognized. Nevertheless, decision support is not yet established in daily routine within hospital information systems which often show a heterogeneous architecture but offer possibilities of interoperability. Currently, the integration of decision support functions into clinical workstations is the most promising way. Therefore, we first discuss aspects of integrating decision support into clinical workstations including clinical needs, integration of database and knowledge base, knowledge sharing and reuse and the role of standardized terminology. In addition, we draw up functional requirements to support the physician dealing with patient care, medical research and administrative tasks. As a consequence, we propose a general architecture of an integrated knowledge-based clinical workstation. Based on an example application we discuss our experiences concerning clinical applicability and relevance. We show that, although our approach promotes the integration of decision support into hospital information systems, the success of decision support depends above all on an adequate transformation of clinical needs.
机译:如今,人们普遍认识到对医疗决策支持的需求,以提高患者护理质量并降低医疗服务成本。然而,医院信息系统的日常工作中尚未建立决策支持,该信息系统通常显示出异构的体系结构,但提供了互操作性的可能性。当前,将决策支持功能集成到临床工作站是最有前途的方法。因此,我们首先讨论将决策支持集成到临床工作站中的方面,包括临床需求,数据库和知识库的集成,知识共享和重用以及标准化术语的作用。此外,我们起草了功能要求,以支持医生处理患者护理,医学研究和行政任务。因此,我们提出了一个基于知识的集成临床工作站的通用体系结构。基于示例应用程序,我们讨论了有关临床适用性和相关性的经验。我们表明,尽管我们的方法促进了将决策支持集成到医院信息系统中,但是决策支持的成功首先取决于临床需求的充分转变。

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