Journal of Korean Society for Quality Management (품질경영학회지)

Korean Society for Quality Management (한국품질경영학회)
권호 표지
DOI QR코드

DOI QR Code

Developing CPG for Implementation of CDSS in Digital Hospitals

디지털 병원의 CDSS구현을 위한 CPG 개발

  • Lee, Hyung-Lae (Dept. of Health Services Management, School of Management, Kyung Hee University) ;
  • Won, Chang-Won (Dept. of Family Medicine, College of Medicine, Kyung Hee University) ;
  • Lee, Sang-Chul (Dept. of Business Administration, Korea Christian University) ;
  • Park, Sang-Chan (Dept. of Health Services Management, School of Management, Kyung Hee University)
  • 이형래 (경희대학교 의료경영학과) ;
  • 원장원 (경희대학교의과대학 가정의학교실) ;
  • 이상철 (그리스도대학교 경영학부) ;
  • 박상찬 (경희대학교 의료경영학과)
  • Received : 2013.12.31
  • Accepted : 2014.01.18
  • Published : 2014.03.31
Download PDF
⟨ Previous Next ⟩

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.

Keywords

References

  1. Alan, V. 2012. "LIMS: The Laboratory ERP." Accessed November 7. http://LIMSfinder.com.
  2. ASTM. 2013. "ASTM E 1578-06: Standard Guide for Laboratory Informatis." Accessed September 24. http://www.astm.org/Standards/E1578.htm.
  3. Bae, H. A. 2008. "Medico Legal Aspects of Clinical Practice Guideline." Medical Law 9(2):181-207.
  4. Eddy, D. M. 1982. "Clinical Policies And The Quality Of Clinical Practice." The New England Journal of Medicine 307(6):343-7. https://doi.org/10.1056/NEJM198208053070604
  5. Field, M. J., and Lohr, K. N. 1990. Clinical Guidelines, Direction of a New Agency. Washington D.C: National Academy Press.
  6. Forsman, R. W. 1996. "Why is the Laboratory an Afterthought for Managed Care Organizations?." Clinical Chemistry 42(5):813-816.
  7. Lee, S. H. 2006. "Policy Recommendations for the Development and Implication of Clinical Practice Guidelines in Korea." Journal of Korean Society of Quality Assurance in Health Care 13(2):9-17.
  8. Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., Haynes, R. B., and Richard, W. S. 1996. "Evidence Based Medicine: What is and What it isn't." British Medical Journal 312:71. https://doi.org/10.1136/bmj.312.7023.71
  9. Woolf, S. H., Grol, R., Hutchinsen, A., Eccles, M., and Grimshaw, J. 1999. "Potential Benefits, Limitations and Harms of Clinical Guidelines." British Medical Journal 318:527-530. https://doi.org/10.1136/bmj.318.7182.527