Use of Online Resources While Using a Clinical Information使用在线资源同时使用临床信息.pptVIP

Personalized Prediction and Resolution of Clinician Information Needs James J. Cimino, M.D. Departments of Biomedical Informatics and Medicine Columbia University Studying Information Needs Covell DG, Uman GC, Manning PR. Information needs in office practice: are they being met? Ann Intern Med. 1985 Oct;103(4):596-9. Findings of Observational Studies Information needs occur often They are often unresolved Computer-based resources are underused: Lack of knowledge of existence Lack of access Lack of navigational skills Perceived lack of time Information Needs in Clinical Care Clinical Information for Decision Support Health Knowledge for Decision Support Automated Clinical Decision Support Clinical Decision Support Systems Modes of Decision Support Patient Info Yes Maybe No Clinical Data Infobuttons Information Needs of CIS Users Common tasks may have common needs System knows: Who the user is Who the patient is What the user is doing What information the user is looking at So: We may be able to predict the specific need User is sitting at a computer! So: We may be able to get an answer automatically Unified Medical Language System The purpose of the UMLS is to improve the ability of computer programs to “understand” the biomedical meaning in user inquiries and to use this understanding to retrieve and integrate relevant machine-readable information for users. - Donald A.B. Lindberg 1986/1993 First Attempt: The Medline Button CIS (WebCIS’s predecessor) on mainframe BRS/Colleague (Medline) on same mainframe Get them to talk to each other Search using patient diagnoses and procedures First Attempt: The Medline Button CIS (WebCIS’s predecessor) on mainframe BRS/Colleague (Medline) on same mainframe Get them to talk to each other Search using patient diagnoses and procedures “Just in Time” Education “Just in Time” Education “Just in Time” Education “Just in Time” Education “Just in Time” Education “Just in Time” Education “Just in Time” Education “Jus