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http://dx.doi.org/10.7469/JKSQM.2014.42.1.081

Developing CPG for Implementation of CDSS in Digital Hospitals  

Lee, Hyung-Lae (Dept. of Health Services Management, School of Management, Kyung Hee University)
Won, Chang-Won (Dept. of Family Medicine, College of Medicine, Kyung Hee University)
Lee, Sang-Chul (Dept. of Business Administration, Korea Christian University)
Park, Sang-Chan (Dept. of Health Services Management, School of Management, Kyung Hee University)
Publication Information
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 on disease J342 which is the most high rate of incidence. Results: Using the suggested model, this study calculates frequency matrix and probability matrix to find out 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 the Incidence Rate, Lab Rate, Disease Lab Rate, Disease confirmed by Lab.
Keywords
CDSS(Clinical Decision Support System); LIS(Lab Information System); CPG(Clinical Practice Guideline); CI(Clinical Index);
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  • Reference
1 Eddy, D. M. 1982. "Clinical Policies And The Quality Of Clinical Practice." The New England Journal of Medicine 307(6):343-7.   DOI   ScienceOn
2 Alan, V. 2012. "LIMS: The Laboratory ERP." Accessed November 7. http://LIMSfinder.com.
3 ASTM. 2013. "ASTM E 1578-06: Standard Guide for Laboratory Informatis." Accessed September 24. http://www.astm.org/Standards/E1578.htm.
4 Bae, H. A. 2008. "Medico Legal Aspects of Clinical Practice Guideline." Medical Law 9(2):181-207.
5 Field, M. J., and Lohr, K. N. 1990. Clinical Guidelines, Direction of a New Agency. Washington D.C: National Academy Press.
6 Forsman, R. W. 1996. "Why is the Laboratory an Afterthought for Managed Care Organizations?." Clinical Chemistry 42(5):813-816.
7 Lee, S. H. 2006. "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):9-17.
8 Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., Haynes, R. B., and Richard, W. S. 1996. "Evidence Based Medicine: What is and What it isn't." British Medical Journal 312:71.   DOI   ScienceOn
9 Woolf, S. H., Grol, R., Hutchinsen, A., Eccles, M., and Grimshaw, J. 1999. "Potential Benefits, Limitations and Harms of Clinical Guidelines." British Medical Journal 318:527-530.   DOI   ScienceOn