1. A Clinical Decision Support using a Terminology Server to improve Patient Safety
- Author
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Garcia-Jimenez, Alba, Moreno-Conde, Alberto, Martínez-García, Alicia, Marín-León, Ignacio, Medrano-Ortega, Francisco Javier, Parra-Calderón, Carlos L, [Garcia-Jimenez,A, Moreno-Conde,A, Martínez-Garcia,A] Technological Innovation Group, 'Virgen del Rocío' University Hospital, Seville, Spain.[Moreno-Conde,A, Parra-Calderon,CL] Biomedical Research Department, Digitalica Salud SL, Seville, Spain.[Marin-Leon,I, Medrano-Ortega,FJ] Internal Medicine Department, 'Virgen del Rocío' University Hospital, CIBER de Epidemiología y Salud Pública (CIBERESP), Seville, Spain.[Parra-Calderon,CL] Head of Innovation Technology in 'Virgen Macarena' and 'Virgen del Rocío' University Hospitals, Seville, Spain., and This research has been partly funded by the Platform for Innovation in Medical Technologies and Health (Plataforma ITEMAS, code PT13/0006/0036) and by the PITeS ISA project (code PI12/01571).
- Subjects
Information Science::Information Science::Medical Informatics::Medical Informatics Applications::Information Systems::Decision Support Systems, Clinical [Medical Subject Headings] ,Health Care::Health Services Administration::Patient Care Management::Delivery of Health Care::Delivery of Health Care, Integrated [Medical Subject Headings] ,Sistemas de apoyo a decisiones clínicas ,Seguridad del paciente ,Semantic Interoperability ,Information Science::Information Science::Computing Methodologies::Computer Systems::Computers [Medical Subject Headings] ,Computadores ,Registros electrónicos de salud ,Diseases::Cardiovascular Diseases::Vascular Diseases::Embolism and Thrombosis::Thromboembolism [Medical Subject Headings] ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Records as Topic::Medical Records::Medical Records Systems, Computerized::Electronic Health Records [Medical Subject Headings] ,Clinical Appropriate Alerts ,Information Science::Information Science::Computing Methodologies::Software [Medical Subject Headings] ,Health Care::Environment and Public Health::Public Health::Accidents::Accident Prevention::Safety::Patient Safety [Medical Subject Headings] ,Thromboembolism ,Tromboembolia ,Patient Safety ,Prestación de atención de salud ,Terminology Server ,Clinical Decision Support Systems - Abstract
Journal Article; Research Support, Non-U.S. Gov't; Clinical Decision Support Systems (CDSS) are software applications that support clinicians in making healthcare decisions providing relevant information for individual patients about their specific conditions. The lack of integration between CDSS and Electronic Health Record (EHR) has been identified as a significant barrier to CDSS development and adoption. Andalusia Healthcare Public System (AHPS) provides an interoperable health information infrastructure based on a Service Oriented Architecture (SOA) that eases CDSS implementation. This paper details the deployment of a CDSS jointly with the deployment of a Terminology Server (TS) within the AHPS infrastructure. It also explains a case study about the application of decision support to thromboembolism patients and its potential impact on improving patient safety. We will apply the inSPECt tool proposal to evaluate the appropriateness of alerts in this scenario. Yes
- Published
- 2015