Medical Effect of Venous Thromboembolism Prophylaxis Systems and Common Input Categories:Preliminary Findings from a Systematic Review

摘要：

　　Computerized Clinical Decision Support Systems(CDSS)are implemented in hospitals to improve prevention of Venous Thromboembolisms(VTE).A physician-driven review was conducted to assess extent of patient outcome effects of recently published CDSS studies.To facilitate future reimplementations within existing hospital information systems,input variables of included systems were extracted,standardized and annotated with semantic codes.Item category coverages of the different systems were then compared.73%of studies showed positive medical effect.Of these,53%showed strong positive medical effect by reducing incidence of deep vein thromboses and pulmonary embolisms.Outcomeimproving systems tend to cover more item categories.A broad set of clinically relevant input variables should be taken into account or reused from the electronic health record if considering CDSS implementation.Input data models are provided for download in different standardized formats.Sitespecific organizational factors that determine how systems are introduced,implemented and tested are also crucial for success.

关键词： Clinical Decision Support Systems Venous Thromboembolism Common Data Elements

作者: Julian Varghese Maren Kleine Sophia Isabella Gessner Sarah Sandmann Martin Dugas

作者单位: Institute of Medical Informatics,University of Münster,Münster,Germany School of Public Health,Bielefeld University,Bielefeld,Germany

会议类型: 国际会议

会议名称: 第十六届世界医药健康信息学大会((MEDINFO2017)、第二届世界医药健康信息学华语论坛(WCHIS 2017)、第15届全国医药信息学大会(CMIA 2017)

会议地点: 苏州

会议语种:英文

页码: 1175-1179

在线出版日期: 2017-08-21（万方平台首次上网日期，不代表论文的发表时间）