디지털 병원의 CDSS구현을 위한 CPG 개발
Developing CPG for Implementation of CDSS in Digital Hospitals
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study is to propose Clinical Practice Guideline(CPG) model and Clinical Index(CI)for implementing CDSS in digital hospitals. Methods: This study uses EMR data at department of family practice in A hospital; 636 patients, 570 diseases(based on ICD 10-CM criteria), and 37,000 data related with labs and treatments. This study focuses ondisease J342 which is the most high rate of incidence. Results: Using the suggested model, this study calculates frequency matrix and probability matrix to findout the correlation of diseases and labs. This study indicates the lab sets of Disease (J342) as CI for CPG. Conclusion: This study suggests CPG model including Lab-based, Disease-Based and Case-based modules. Through 6 level cased-based CPG model, especially, this study develops Clinical Index(CI) such as theIncidence Rate, Lab Rate, Disease Lab Rate, Disease confirmed by Lab.
Abstract
Purpose: The purpose of this study is to propose Clinical Practice Guideline(CPG) model and Clinical Index(CI)for implementing CDSS in digital hospitals. Methods: This study uses EMR data at department of family practice in A hospital; 636 patients, 570 diseases(based on ICD 10-CM criteria), and 37,000 data related with labs and treatments. This study focuses ondisease J342 which is the most high rate of incidence. Results: Using the suggested model, this study calculates frequency matrix and probability matrix to findout the correlation of diseases and labs. This study indicates the lab sets of Disease (J342) as CI for CPG. Conclusion: This study suggests CPG model including Lab-based, Disease-Based and Case-based modules. Through 6 level cased-based CPG model, especially, this study develops Clinical Index(CI) such as theIncidence Rate, Lab Rate, Disease Lab Rate, Disease confirmed by Lab.
참고문헌 (9)
- "LIMS: The Laboratory ERP" (2012)[URL]
- "ASTM E 1578-06: Standard Guide for Laboratory Informatis" (2013)[URL]
- 배현아, "표준 치료 지침서(Clinical Practice Guideline)의 의료법학적 의의", 의료법학, 9(2), pp.181~207 (2008), 대한의료법학회
- Eddy, D. M., "Clinical Policies And The Quality Of Clinical Practice", The New England Journal of Medicine, 307(6), pp.343~347 (1982)
- Field, M. J., "Clinical Guidelines, Direction of a New Agency" (1990), National Academy Press
- Forsman, R. W., "Why is the Laboratory an Afterthought for Managed Care Organizations?", Clinical Chemistry, 42(5), pp.813~816 (1996)
- Lee, S. H., "Policy Recommendations for the Development and Implication of Clinical Practice Guidelines in Korea", Journal of Korean Society of Quality Assurance in Health Care, 13(2), pp.9~17 (2006)
- Sackett, D. L., "Evidence Based Medicine : What is and What it isn’t", British Medical Journal, 312, pp.71~ (1996)
- Woolf, S. H., "Potential Benefits, Limitations and Harms of Clinical Guidelines", British Medical Journal, 318, pp.527~530 (1999)