临床决策支持与知识库.pptVIP

Specifications and Standards for Decision Support in the National Programme for IT Dr Peter Johnson Decision Support Lead Technology Office, NPfIT DSS in the National Program Elective Passive Pharmacy Active Why standards? DSS standards proposed Unified DSS platform Standard knowledge model Common User Interface for DSS Decision Support Specified in National Program “ICRS will enable Clinicians to make decisions based on the best available patient information and currently accepted evidence of best practice.” Decision Support Components: Elective – structured access to reference material. Passive – implementation of local protocols. Active – alerts, pathways, care plans, guidelines Pharmacy DSS What, When? December 2004 (Phase 1) Secure access to local electronic health libraries, medical and nursing school libraries, NeLH and the internet for full text journals, professional portals and reference material. December 2006 (Phase 2) Development of a managed knowledge service. Provision of end user analytical tools and data dictionary to interrogate and report on data entities in ICRS. Target for 2010 …advice and guidance that must be available at points of patient care and clinical decision-making. This will develop in increasing sophistication with the clinical functions in ICRS, and is especially associated with orders, electronic prescribing and care pathways. But to get there, we need to have already started… Elective / Passive DSS – medic to medic Map of Medicine Pharmacy Decision Support (ePrescribing) formulary management licensed use of drugs checking allergies interactions contraindications monitoring requirements – pathology results checking dose calculation specific management of chemotherapy, IVs, TPN, and pharmacy in critical care and paediatrics Enterprise Wide Agreement with FDBE for first three years Active DSS Specified Level 2 “Alerts” “The service shall alert Clinicians to any event or combination of events that is pre-determined to lead to