临床决策支持在检验结果自动审核和解释中的应用评价  

The Application Evaluation of Clinical Decision Support in Auto-verification and Interpretation of Laboratory Test Results

作　　者：杨大干[1] 胡长爱[1] 邢美园[1] 陈瑜[1] 张珉[1] 

机构地区：[1]浙江大学医学院附属第一医院,浙江省杭州市庆春路79号310003

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)~~

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.

关 键 词：临床决策支持 自动审核 结果解释 

分 类 号：R319[医药卫生—基础医学]