信息学与临床实验室。

Q1 Biochemistry, Genetics and Molecular Biology
Clinical Biochemist Reviews Pub Date : 2014-08-01
Richard G Jones, Owen A Johnson, Gifford Batstone
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引用次数: 0

摘要

在工作量增加、成本限制和技术进步的综合压力下,病理服务的性质正在发生变化。面对这种情况,实验室系统需要满足与临床电子记录系统进行数据交换的新要求,以便进行检验申请和结果报告。随着这些需求的发展,新的挑战也不断出现,特别是在数据集的格式和内容交换方面。要想在这两个领域实现智能系统的潜力,临床医生和实验室信息专家之间的持续对话至关重要。现在,病理学对信息技术(IT)的要求已远远超出了提供纯粹的分析数据。为了实现实验室数据与整个临床路径的无缝整合,"信息学"--将数据转化为有用信息的艺术和科学--在检验医学中正变得越来越重要。信息学在病理学领域是一个强大的工具--无论是在实施病理学现代化进程、引入新的诊断模式(如蛋白质组学、基因组学)、提供及时和以证据为基础的疾病管理,还是使有限且往往昂贵的资源得到最佳利用方面都是如此。向有能力和有兴趣的患者提供适当的信息--这需要对不断增加的信息量进行批判性评估--也可以从适当利用信息学加强长期疾病的自我管理中获益匪浅。本综述探讨了在医疗保健服务不断发展变化的大背景下,病理信息系统所面临的日益增长的需求。医学信息学的总体趋势反映在当前检验医学的优先事项中,包括对统一电子记录、计算机化订单输入、数据安全和恢复以及审计的需求。我们的结论是,有必要重新思考病理系统的架构,尤其是要应对电子病历系统迅速成熟的环境变化。实验室信息学家与临床系统开发人员合作嵌入临床智能决策支持系统的机会不容错过。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Informatics and the clinical laboratory.

Informatics and the clinical laboratory.

Informatics and the clinical laboratory.

Informatics and the clinical laboratory.

The nature of pathology services is changing under the combined pressures of increasing workloads, cost constraints and technological advancement. In the face of this, laboratory systems need to meet new demands for data exchange with clinical electronic record systems for test requesting and results reporting. As these needs develop, new challenges are emerging especially with respect to the format and content of the datasets which are being exchanged. If the potential for the inclusion of intelligent systems in both these areas is to be realised, the continued dialogue between clinicians and laboratory information specialists is of paramount importance. Requirements of information technology (IT) in pathology, now extend well beyond the provision of purely analytical data. With the aim of achieving seamless integration of laboratory data into the total clinical pathway, 'Informatics' - the art and science of turning data into useful information - is becoming increasingly important in laboratory medicine. Informatics is a powerful tool in pathology - whether in implementing processes for pathology modernisation, introducing new diagnostic modalities (e.g. proteomics, genomics), providing timely and evidence-based disease management, or enabling best use of limited and often costly resources. Providing appropriate information to empowered and interested patients - which requires critical assessment of the ever-increasing volume of information available - can also benefit greatly from appropriate use of informatics in enhancing self-management of long term conditions. The increasing demands placed on pathology information systems in the context of wider developmental change in healthcare delivery are explored in this review. General trends in medical informatics are reflected in current priorities for laboratory medicine, including the need for unified electronic records, computerised order entry, data security and recovery, and audit. We conclude that there is a need to rethink the architecture of pathology systems and in particular to address the changed environment in which electronic patient record systems are maturing rapidly. The opportunity for laboratory-based informaticians to work collaboratively with clinical systems developers to embed clinically intelligent decision support systems should not be missed.

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来源期刊
Clinical Biochemist Reviews
Clinical Biochemist Reviews Biochemistry, Genetics and Molecular Biology-Clinical Biochemistry
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