RESUMO
Clinical Decision Support Systems (CDSS) are software applications that support clinicians in making healthcare decisions providing relevant information for individual patients about their specific conditions. The lack of integration between CDSS and Electronic Health Record (EHR) has been identified as a significant barrier to CDSS development and adoption. Andalusia Healthcare Public System (AHPS) provides an interoperable health information infrastructure based on a Service Oriented Architecture (SOA) that eases CDSS implementation. This paper details the deployment of a CDSS jointly with the deployment of a Terminology Server (TS) within the AHPS infrastructure. It also explains a case study about the application of decision support to thromboembolism patients and its potential impact on improving patient safety. We will apply the inSPECt tool proposal to evaluate the appropriateness of alerts in this scenario.
Assuntos
Sistemas de Apoio a Decisões Clínicas/normas , Registros Eletrônicos de Saúde/normas , Erros Médicos/prevenção & controle , Segurança do Paciente/normas , Indicadores de Qualidade em Assistência à Saúde/normas , Terminologia como Assunto , Humanos , Armazenamento e Recuperação da Informação/métodos , Registro Médico Coordenado/normas , Processamento de Linguagem Natural , EspanhaRESUMO
El objetivo principal de la guía es proporcionar a los profesionales sanitarios una herramienta que les permita tomar decisiones basadas en evidencia sobre aspectos de la atención al paciente adulto con indicación de terapia intravenosa con dispositivos no permanentes. Además, se señalan los objetivos secundarios siguientes: aumentar la calidad de las intervenciones, evitar complicaciones relacionadas con la terapia intravenosa y reducir la variabilidad existente entre los profesionales sanitarios.
The guideline includes recommendations for taking care of adult patients with intravenous therapy who are at primary care centres, hospitals and homes.
Assuntos
Humanos , Adulto , Infusões Intravenosas/instrumentação , Cateteres de Demora/normas , Assistência Ambulatorial , Diálise/instrumentação , Segurança de Equipamentos , Procedimentos Endovasculares/instrumentaçãoRESUMO
The recommendations on venous thromboprophylaxis have been updated on the basis of current evidence reviewed by a multidisciplinary team. The problem has been approached with regard to its relevance in both surgical and nonsurgical patients. It should be noted that these recommendations were drawn up for use in Spain and, therefore, should be implemented with the drugs and therapeutic practices authorized and generally accepted in this country.
Assuntos
Tromboembolia Venosa/prevenção & controle , HumanosRESUMO
Un equipo multidisciplinario ha realizado una actualización de recomendaciones en la profilaxis de la enfermedadtromboembólica venosa basándose en las evidencias disponiblesactualmente. Se ha abordado la problemática tanto delpaciente médico como quirúrgico. Hay que puntualizar queesta Normativa está planteada para su utilización en el ámbitode España y, por lo tanto, debe aplicarse con los fármacosautorizados y las prácticas terapéuticas más aceptadasen este país (AU)
The recommendations on venous thromboprophylaxis have been updated on the basis of current evidence reviewed by a multidisciplinary team. The problem has been approachedwith regard to its relevance in both surgical and non surgical patients. It should be noted that these recommendations were drawn up for use in Spain and, therefore, should be implemented with the drugs and therapeutic practices authorized and generally accepted in this country (AU)
