지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 161 - 166 (6page)
이용수
초록· 키워드
오류제보하기
Objectives: The objective of this study was to confirm the conformance rate of the actual usage of the clinical pathway (CP) using Electronic Health Record (EHR) log data in a tertiary general university hospital to improve the CP by reflecting realworld care processes. Methods: We analyzed the application and matching rates of clinicians’ orders with predefined CP order sets based on data from 164 inpatients who received appendectomies out of all patients who were hospitalized from August 2013 to June 2014. We collected EHR log data on patient information, medication orders, operation performed, diagnosis, transfer, and CP order sets. The data were statistically analyzed. Results: The average value of the actual application rate of the prescribed CP order ranged from 0.75 to 0.89. The application rate decreased when the order date was factored in along with the order code and type. Among CP pre-operation, intra-operation, post-operation, routine, and discharge orders, orders pertaining to operations had higher application rates than other types of orders. Routine orders and discharge orders had lower application rates. Conclusions: This analysis of the application and matching rates of CP orders suggests that it is possible to improve these rates by updating the existing CP order sets for routine discharge orders to reflect data-driven evidence.
This study shows that it is possible to improve the application and matching rates of the CP using EHR log data. However, further research should be performed to analyze the effects of these rates on care outcomes.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Bouarfa L / 2012 / Workflow mining and outlier detection from clinical activity logs / J Biomed Inform 45 (6) : 1185 ~ 1190
Campbell H / 1998 / Integrated care pathways / BMJ 316 (7125) : 133 ~ 137
Chu S / 1998 / Improving clinical pathway design : lessons learned from a computerised prototype / Int J Med Inform 51 (1) : 1 ~ 11
Huang Z / 2012 / On mining clinical pathway patterns from medical behaviors / Artif Intell Med 56 (1) : 35 ~ 50
Huang Z / 2014 / Discovery of clinical pathway patterns from event logs using probabilistic topic models / J Biomed Inform 47 : 39 ~ 57
Campbell H / 1998 / Integrated care pathways / BMJ 316 (7125) : 133 ~ 137
Chu S / 1998 / Improving clinical pathway design : lessons learned from a computerised prototype / Int J Med Inform 51 (1) : 1 ~ 11
Huang Z / 2012 / On mining clinical pathway patterns from medical behaviors / Artif Intell Med 56 (1) : 35 ~ 50
Huang Z / 2014 / Discovery of clinical pathway patterns from event logs using probabilistic topic models / J Biomed Inform 47 : 39 ~ 57
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