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Journal of Korean Society for Quality Management > Volume 42(1); 2014 > Article
Journal of Korean Society for Quality Management 2014;42(1): 81-.
디지털 병원의 CDSS구현을 위한 CPG 개발
이형래1, 원장원2, 이상철3, 박상찬1
1경희대학교 의료경영학과
2경희대학교의과대학 가정의학교실
3그리스도대학교 경영학부
Developing CPG for Implementation of CDSS in Digital Hospitals
Hyung-Lae Lee1, Chang-Won Won2, Sang-Chul Lee3, Sang-Chan Park1
1Dept. of Health Services Management, School of Management, Kyung Hee University
2Dept. of Family Medicine, College of Medicine, Kyung Hee University
3Dept. of Business Administration, Korea Christian University
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.
Key Words: CDSS(Clinical Decision Support System);LIS(Lab Information System);CPG(Clinical Practice Guideline);CI(Clinical Index);
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