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Science and technology Clinical information and decision support intranet system:

Science and technology Clinical information and decision support intranet system: “The Bed Side Story” IKTA0074/2001 Szeged, Hungary. Project sheet. Consortial members: Csongrád Megyei MEDNET Kht. - Co-ordinator Department of Medical Informatics, University of Szeged

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Science and technology Clinical information and decision support intranet system:

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  1. Science and technology Clinical information and decision support intranet system: “The Bed Side Story” IKTA0074/2001 Szeged, Hungary

  2. Project sheet • Consortial members: • Csongrád Megyei MEDNET Kht. - Co-ordinator • Department of Medical Informatics, University of Szeged • Department of Clinical Pharmacology, University of Szeged Implementation period: 01/01/2002 - 06/30/2004 Duration: 30 months Total implementation cost approx: €355.000.* *Rate: 245HUF/€

  3. The dilemma „Half of we know today won’t be true in three years time The problem is that we don’t know which half…”

  4. intuition external evidence conviction external evidence EBM formal problem solving formal problem solving knowledge-based (KBDS) solutions The decision space

  5. Problems with CDSS Clinical Decision Support Systems • Reasons not to use computerized clinical decision support systems in practice: • The required knowledge does not available at bedside • The advice is general, not case specific • no integration with the clinical work-flow

  6. Aims To develop a knowledge-based clinical information & decision support system

  7. guideline reference warning reminder System I/O modell Drug data Rx interface interface interface Decision support system Patient data (PMS) Clinical lab data (LAB)

  8. Medical knowledge (ebooks): • clinical handbook • drug information • laboratory handbook • Decision support: • Doseprompt - case specific, protocol-based drug administration • Labprompt - case specific (clinical chemistry lab) result interpretation illustration Main features

  9. Main features cont. • Doseprompt - Clinical questions to be answered @bedside: • What drug should be given? • How should it be administered? • What is the correct dose? • Given the strenght and form of the selected drug what is the correct quantity to be expediated?

  10. Main features cont. • Labprompt - Clinical questions to be answered @bedside: • What test should be ordered? • What is the correct interpretation of the results? • What are the implications?

  11. Knowledge organisation principles • Knowledge must be organized around the main clinical questions • It must be organized redundacy free but in a flexible structure allowing fast and targeted access • evidence-based knowledge is preferred • In practice a set of related core texts, guidelines, and articles are identified knowledge is extracted, updated, reorganized and new elements are added • Peaces of kowledge are to be cross referenced • Sources must be clearly indicated

  12. Knowledge organization - ebook

  13. Advanteges • Instant access of medical knowledge • structured knowledge representation • automated decision support elements, • case specific advice • integration with the clinical work-flow

  14. Clinical intranet portal SMS/WAP GSM service LAN HIS SMS/WAP PMS LAB ISDN GP Office Hospital information system Envisioned IT environment

  15. Contact Dr. András APJOK apjok@mednetkht.hu Csongrád Megyei MEDNET Kht. Korányi fasor 9. Szeged, Hungary H-6720 Phone/fax: +36 62 54 58 66

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