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A disruptive Big data approach to leverage the efficiency in management and clinical decision support in a Hospital

机译:一种破坏性的大数据方法可利用医院的管理和临床决策支持效率

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摘要

There is an urgent need to potentiate evidence-based clinical-decision-making with a holistic, patient-centered approach to value, one that focuses both on health-care spending and treatment outcomes. On the other hand, in the era of self-driven vehicles, computer systems in healthcare need also to become proactive and to identify relevant clinical patterns in a much faster and automated way than currently used solutions enable. Although this is the state-of-the-art paradigm, in fact, technical constraints block further developments in these areas as hospitals lack the skills to really manage and take value from the big amount of Data about their patients that is stored in dozens of heterogeneous information systems, from lab results to imaging studies, from pharmacy to the Electronic Medical Record (EMR). At São João Hospital Center (São João), a novel analytics platform was conceived, a new approach that is able to leverage all the Big Data that is stored about hospital patients in seconds and to apply some of the most advanced and lightening speed analytics on top of this information in order to empower clinicians and to give them a new decision support tool. This sets the road towards a data-driven hospital of the future, where Data Analytics and Data Science can become as important as the most recent Harrison's edition.
机译:迫切需要采用一种以患者为中心的整体价值评估方法来增强循证临床决策,这种方法既要关注医疗保健支出,又要关注治疗结果。另一方面,在自动驾驶汽车时代,医疗保健中的计算机系统也需要变得主动,并以比当前使用的解决方案更快,更自动化的方式识别相关的临床模式。尽管这是最先进的范例,但实际上,技术限制阻碍了这些领域的进一步发展,因为医院缺乏真正管理和从大量患者数据中获取价值的技能,这些数据存储在数十个从实验室结果到影像学研究,从药房到电子病历(EMR)的异构信息系统。在圣若昂医院中心(SãoJoão),构思了一个新颖的分析平台,该新方法能够利用存储在医院患者中的所有大数据在几秒钟内发挥作用,并能够将一些最先进,最快速的分析应用于此信息的顶部,以增强临床医生的能力并为他们提供新的决策支持工具。这为未来的数据驱动医院铺平了道路,数据分析和数据科学将在此方面与最新的Harrison版本一样重要。

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