Literature DB >> 1482911

Integration of a stand-alone expert system with a hospital information system.

J W Hales1, R M Gardner, S M Huff.   

Abstract

A stand-alone PC expert system for evaluating the appropriateness of inpatient admissions has been integrated with an existing hospital information system. The expert system supports preadmission screening for appropriateness of inpatient admissions. The HIS provides extensive clinical data in a coded electronic form, permitting high-level decision support. The integrated system was developed for a 20 week randomized clinical trial to evaluate the effects of preadmission screening on inappropriate inpatient admissions. Three factors of the integration are considered: programmatic integration of the expert system, seamless presentation of mixed platform applications, and integration of coded data from the stand-alone application into the HIS data structure.

Mesh:

Year:  1992        PMID: 1482911      PMCID: PMC2248147     

Source DB:  PubMed          Journal:  Proc Annu Symp Comput Appl Med Care        ISSN: 0195-4210


  10 in total

1.  Computer-critiqued blood ordering using the HELP system.

Authors:  R M Gardner; O K Golubjatnikov; R M Laub; J T Jacobson; R S Evans
Journal:  Comput Biomed Res       Date:  1990-12

2.  Development of a computerized laboratory alerting system.

Authors:  K E Bradshaw; R M Gardner; T A Pryor
Journal:  Comput Biomed Res       Date:  1989-12

3.  Applying brakes to the runaway American health care system. A proposed agenda.

Authors:  N E Davies; L H Felder
Journal:  JAMA       Date:  1990-01-05       Impact factor: 56.272

4.  Reliability and validity of utilization review criteria. Appropriateness Evaluation Protocol, Standardized Medreview Instrument, and Intensity-Severity-Discharge criteria.

Authors:  I Strumwasser; N V Paranjpe; D L Ronis; D Share; L J Sell
Journal:  Med Care       Date:  1990-02       Impact factor: 2.983

5.  Cost containment and the physician.

Authors:  M Angell
Journal:  JAMA       Date:  1985-09-06       Impact factor: 56.272

Review 6.  Identifying and managing inappropriate hospital utilization: a policy synthesis.

Authors:  S M Payne
Journal:  Health Serv Res       Date:  1987-12       Impact factor: 3.402

7.  The appropriateness evaluation protocol: a technique for assessing unnecessary days of hospital care.

Authors:  P M Gertman; J D Restuccia
Journal:  Med Care       Date:  1981-08       Impact factor: 2.983

8.  The HELP system.

Authors:  T A Pryor; R M Gardner; P D Clayton; H R Warner
Journal:  J Med Syst       Date:  1983-04       Impact factor: 4.460

9.  Implementation of a computerized patient advice system using the HELP clinical information system.

Authors:  D F Sittig; N L Pace; R M Gardner; E Beck; A H Morris
Journal:  Comput Biomed Res       Date:  1989-10

10.  Inappropriate use of hospitals in a randomized trial of health insurance plans.

Authors:  A L Siu; F A Sonnenberg; W G Manning; G A Goldberg; E S Bloomfield; J P Newhouse; R H Brook
Journal:  N Engl J Med       Date:  1986-11-13       Impact factor: 91.245

  10 in total
  2 in total

1.  The anatomy of decision support during inpatient care provider order entry (CPOE): empirical observations from a decade of CPOE experience at Vanderbilt.

Authors:  Randolph A Miller; Lemuel R Waitman; Sutin Chen; S Trent Rosenbloom
Journal:  J Biomed Inform       Date:  2005-10-21       Impact factor: 6.317

2.  Using the Internet Gopher Protocol to link a computerized patient record and distributed electronic resources.

Authors:  J W Hales; R C Low; K T Fitzpatrick
Journal:  Proc Annu Symp Comput Appl Med Care       Date:  1993
  2 in total

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