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临床决策支持在检验结果自动审核和解释中的应用评价 被引量:11

The Application Evaluation of Clinical Decision Support in Auto-verification and Interpretation of Laboratory Test Results
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摘要 目的:利用临床决策支持实现检验后的自动化过程。方法:研发自动审核和智能解释的临床决策支持系统,建立高质量、专业化的规则库和知识库。结果:临床决策支持包括自动审核、结果解释和全面知识支持。自动审核符合ISO15189、CAP Checklist、CLSI AUTO-10等标准要求。应用效果包括:实验室可减少80%的审核工作量,缩短40%的结果报告时间;可优化工作流程,减少差错率;可均衡员工技术差异,降低审核工作压力。结论:临床决策支持显著提高检验后过程的质量和效率。 Objective: To use clinical decision support to realize the automation of post laboratory analysis. Methods: A clinical decision support system was developed including auto-verification and intelligent interpretation, high quality specialized rule repository and knowledge repository was established. Results: Clinical decision support includes auto-verification, results interpretation and comprehensive knowledge support. The auto-verification meets the international standard requirements such as ISO 15189, CAP Checklist, CLSI AUTO-10, etc. The use of clinical decision support could reduce 80% of verification workload; shortened 40% of test turnaround time. It also had the advantage of optimizing the workflow, reduce error rate, balance staff technological disparity, and reduce verification work stress. Conclusion: The clinical decision support significantly improves the quality and efficiency of post laboratory analysis.
出处 《中国数字医学》 2014年第10期45-47,56,共4页 China Digital Medicine
基金 国家科技支撑计划-数字化临床路径知识系统的关键技术和示范应用(编号:2013BAI05B06)~~
关键词 临床决策支持 自动审核 结果解释 clinical decision support auto-verification result interpretation
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参考文献9

  • 1杨大干,邢美园,陈瑜,张珉.医学实验室结果审核和解释系统的设计与实现[J].中国数字医学,2012,7(4):32-36. 被引量:4
  • 2International Standardization. ISO Organization for 15189: 2012, Medical laboratories - Requirements for quality and competence, http://www.iso.org.
  • 3College of American Pathologists. Laboratory General Checklist - laboratory computer services, http://www.cap.org.
  • 4William N,Gerald D,Randy R,et al. Autoverification of Clinical Laboratory Test Results[J].Clinical and Laboratory Standards Institute, 2006.
  • 5周佳烨,周琰,王蓓丽,吴炯,张春燕,宋斌斌,郭玮,潘柏申.生化项目复检规则合理性的评价[J].中华检验医学杂志,2012,35(7):661-663. 被引量:3
  • 6Zhao Y,Yang L,Zheng G,et al.Building and evaluating the autoverification of coagulation items in the laboratory information system[J]. Clin Lab,2014,60(1):143-50.
  • 7Torke N,Boral L,Nguyen T,et al.Process improvement and operational efficiency through test result autoverification[J].Clin Chem,2005,51(12):2406-8.
  • 8Gomez-Rioja R,Alvarez V,Ventura M,et al.Current status of verification practices in clinical biochemistry in Spain[J].Clin Chem Lab Med,2013,51(9):1739-46.
  • 9Jones JB. A strategic informatics approach to autoverification[J].Clin Lab Meal,2013,33(1):161-81.

二级参考文献18

  • 1杨大干,徐根云,朱阳军.临床实验室信息系统的研究与开发[J].中国医疗器械杂志,2005,29(1):23-26. 被引量:19
  • 2Chima HS, Ramarajan V, Bhansali D. Is it necessary to repeat critical values in the laboratory? Today's technology may have the answers. Lab Med,2009, 40:453-457.
  • 3Nosanchuk JS, Gottmann AW. CUMS and delta checks. Am J Clin Pathol, 1974, 62:707-712.
  • 4Ladenson JH. Patients as their own controls:use of the computer to identify "laboratory error". Clin Chem, 1975, 21:1648-1653.
  • 5Toll AD, Liu JM, Gulati G, et al. Does routine repeat testing of critical values offer any advantage over single testing? Arch Pathol Lab Med, 2011, 135:440-444.
  • 6Valdiguie PM,Rogari E,Philippe H. VALAB:expert system for validation of biochemical data[J].Clinical Chemistry,1992,(01):83-87.
  • 7Trendelenburg C,Colhoun O,Wormek A. Knowledge-based test result in interpretation in laboratory medicine[J].Clinica Chimica Acta,1998,(02):229-242.
  • 8Oosterhuis WP,Ulenkate HJ,Goldschmidt HM. Evaluation of LabRespond,a new automated validation system for clinical laboratory test results[J].Clinical Chemistry,2000,(11):1811-1817.
  • 9Van HoofV,Wormek A,Schleutermann S. Medical expert systems developed in j.MD,a Java based expert system shell:application in clinical laboratories[J].Medical Information,2004,(Pt1):89-93.
  • 10William N,Gerald D,Randy R. Autoverification of Clinical Laboratory Test Results[M].Clinical and Laboratory Standards Institute,2006.

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