title: [Necessity of clinical decision support system created by medical staff].
abstract: To support patient safety, we have established a new system that collates medical facility clinical records, examination results and orders, and implementation information comprehensively in real time, checks for consistency and validity, and sends warnings to the appropriate people at the appropriate time. Because our system actually corrects inaccurate operation information, it is different from most existing facilities for patient safety in that it reconstructs information independently from the HIS (Hospital Information System). We were permitted to send warning messages not only to the doctor who entered the orders, but also to the chief of medical staff and team members. For the warning method, we tried screen flashes and chimes, mobile phone messages, and high quality interactive voice responses. We also investigated the degree of message usefulness. Therein, by not relying on "authenticity" and "readability," but by exhaustively collecting and appropriately revising in alignment with the use of information, we have created an original system that collects accurate information. This original system was established by medical staff members. The appropriate revisions mentioned herein are items which meticulously reflect the medical professional's comments and selected operation and signify why a "Clinical Decision Support System created by medical staff" is necessary.
authors.affiliation: Department of Pediatrics, Tokyo Metropolitan Hiroo Hospital, Shibuya-ku, Tokyo 150-0013, Japan. yamamoto@medicalmac.com
authors.forename: Yasuhito
authors.initials: Y
authors.lastname: Yamamoto
mesh_terms: D016208:Databases, Factual; D020000:Decision Support Systems, Clinical; D006751:Hospital Information Systems; D006801:Humans; D051188:Knowledge Bases; D008503:Medical Staff; D017410:Practice Guidelines as Topic; D017751:Safety Management / Q000379:methods*