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Quality assurance and administration systems
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Clinical Event Monitor
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Generates alerts, interpretations, screening messages etc.
based on clinical events and a centralized patient database.
| developed by |
clinical domains |
keywords |
| Columbia University; Columbia-Presbyterian Medical Center |
Laboratory alerts, drug interactions |
Decision support systems, Arden Syntax, MLMs, alerts, |
| location |
commissioned |
status |
| Columbia-Presbyterian Medical Center |
March 1992 |
|
| description |
|
Based on clinical events and a centralized patient database, the clinical
event monitor
The Clinical Event Monitor is a automated decision support system that is
based on the Arden Syntax for
Medical Logic Modules. The system is triggered by clinical events
throughout the medical center, including admit-discharge-transfer events,
the storage of laboratory results, the storage of reports from ancillary
departments, the processing of pharmacy orders, etc. The system reads a
centralized patient database that includes coded registration information,
laboratory results, radiology findings (via natural language processing),
medication orders, and text reports from most ancillary departments.
Based on the events and data, the system generates emergent alerts (about
50 per day), informational interpretations (about 2000 per day), and
screening messages for clinical research, quality assurance, and
administration (eg, billing rules). The system runs for all the medical
center's patients, and all health care providers have access to the
generated messages. The system has been in clinical use since
March 1992. There are about 100 MLMs (rules) at present, which concentrate
on laboratory alerts, lab-drug interactions, health maintenance protocols,
tuberculosis follow-up, administrative rules, and screening messages for
research and quality assurance. There is anecdotal evidence of success,
and formal studies are in progress.
|
| references |
G Hripcsak, PD. Clayton. User comments on a clinical event
monitor. In: Ozbolt JG, editor. Proceedings of the Eighteenth Annual
Symposium on Computer Applications in Medical Care; 1994 Nov 5-9;
Washington, D.C. Philadelphia: Hanley & Belfus, Inc., 1994; 636-40.
[]
[]
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"
"
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G Hripcsak, P Ludemann, T. Allan Pryor, OB. Wigertz, PD.
Clayton. Rationale for the Arden Syntax. Computers and Biomedical Research
1994;27:291-324.
[]
[]
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"
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T. Allan Pryor, G Hripcsak. Sharing MLM's: an experiment between
Columbia-Presbyterian and LDS Hospital. In: Safran C, editor. Proceedings
of the Seventeenth Annual Symposium on Computer Applications in Medical
Care; 1993 Oct 30-Nov 3; Washington, D. C. New York: McGraw-Hill, Inc.,
1994; 399-403.
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G Hripcsak. Monitoring the Monitor: Automated Statistical Tracking of
a Clinical Event Monitor. Computers and Biomedical Research
1993;26:449-66.
[]
[]
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G Hripcsak, JJ. Cimino, SB. Johnson, PD. Clayton. The
Columbia-Presbyterian Medical Center decision-support system as a model
for implementing the Arden Syntax. In: Clayton PD, editor. Proceedings of
the Fifteenth Annual Symposium on Computer Applications in Medical Care;
1991 Nov 17-20; Washington, D.C. New York: McGraw-Hill, Inc., 1992;
248-52.
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| contact |
links |
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E:
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| acknowledgements |
Archive of AI systems in clinical practice previously administered by Enrico Coiera. Used with permission. Maintained and extended since 2001 by OpenClinical. |
Entry on archive: December 5 1995
Last main update: December 5 1995
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Arden Syntax