构建临床决策支持系统的良性生态

Construction of the Benign Ecology of Clinical Decision Support System

在电子病历得到应用后,临床决策支持系统(CDSS)是进一步提升医疗安全与质量的重要手段。但是当前CDSS的应用却遇到许多困难。文章根据我国当前电子病历应用水平评估的情况归纳了临床决策支持应用的6种类型和5种常见的应用场景,分析了技术上促进CDSS应用需要解决的4个主要问题,提出了以优先解决电子病历系统与CDSS接口的标准化作为入手推动临床决策支持应用的方案。通过扩大CDSS的应用带动知识描述标准的建立,进而引导市场化方式发展通用的知识库,由此形成临床决策支持系统良性发展的生态。

After the application of electronic medical record, clinical decision support system(CDSS) is an important means for the further improvement of the medical safety and quality. However, there are many difficulties in the application of CDSS currently. According to the current evaluation of the application level of electronic medical record in China, this paper summarizes 6 types of clinical decision support application and 5 common application scenarios, analyzes 4 main problems to be solved for the technical promotion of the application of CDSS, and proposes a plan to promote the application of the clinical decision support by solving the problem of the standardization of the interface between the electronic medical record system and CDSS first. By expanding the application of CDSS, we can promote the establishment of the knowledge description standards, thus guiding the development of the general knowledge base in a market-oriented way and forming the benign development ecology of clinical decision support system.