Clinical resource auditing and decision support for computerized patient record systems: a mediated architecture approach.
This paper has three major goals: (1) Show by demonstration (in a currently implemented CPR) that for this case, the additional information entry required by providers to acquire the information for Clinical Decision Support (CDS) and Resource Auditing (RA) comes as a side effect of patient care documentation. (2) Use simple simulation to explore the practical issues of allowing users database access to this cross-patient information for CDS and RA. (3) Relate by argument the findings in 1 and 2 to the concept of mediated information systems architectures for CDS and RA. The primary finding of this paper is that a mediated architecture is the only practical way to offer distributed knowledge and data resources to the CPR user.
Canfield
K
K
Department of Information Systems, University of Maryland, UMBC.
D003198:Computer Simulation; D003628:Database Management Systems; D003661:Decision Support Techniques; D006751:Hospital Information Systems; D008498:Medical Record Linkage; D016347:Medical Records Systems, Computerized; D011787:Quality of Health Care; D012984:Software; D014584:User-Computer Interface