英语翻译Computer technologyClinical medicine seems headed inevit

英语翻译
Computer technology
Clinical medicine seems headed inevitably toward electronic medical records.This step could represent a major advance in the care of older people,if the opportunity is properly harnessed.Simply reproducing the current unstructured information set in a more legible and transmissible format will not suffice.Structured information provides the vehicle for assuring a more systematic evaluation and follow-up of cases.By distinguishing between missing and normal values,it can provide the structure to focus clinicians' attention on salient items.
Computer technology can dramatically reduce redundancy.Properly mobilized,computers can provide the structure needed to assure a comprehensive assessment with no duplication of effort.Because they are interactive ,they can carry out much of the desired branching and can even use simple algorithms to clarify areas of ambiguity and retest areas where some unreliability is suspected.Similar algorithms can look for inconsistency to screen for cheating.
Data stored on computers can be aggregated to display performance across patients by provider (eg,physician,nursing home ,or agency).Data on a patient can be traced across time to look at changes in function and ,in turn,can be aggregated.
The next important step in the progression is to move the focus from a single point of care to the linking of related elements of care.In an ideal system,patient information would be linked to permit tracing changes in status for that individual as they move from one treatment modality to another.thus,hospital admis 、、、少、、、care information would be merged into a common computer-linked record,which allows one to trace the patient's movements and status.
Finally,it would be desirable to have data on the process of care as well as the outcomes.This combination would permit analyses of what elements of care made a difference for which patients.
Such an approach to assuring quality is within our grasp if we are prepared to invest in data systems and to commit ourselves to collecting standardized information.It necessitates a shift in some of our fundamental paradigms from thinking about whether we did the right thing to deciding if it made any difference after all.
Two basic changes in thinking are necessary in order to establish an outcome based philosophy,both of which are difficult for clinicians.

计算机技术
临床医学看起来正在不可避免地向电子医疗纪录.这一步能代表了一项重大进展照顾年长的人,如果机会是正确的利用.简单的复制当前的非结构化的信息在一个更易读,导致人和不够形式.结构化的信息提供车辆,以保证系统的评价及随访情况.通过区分失踪,正常范围,它可以提供架构集中医务人员注意力集中在显著的项目.
计算机技术可以显著地减少冗余.正确的动员起来,电脑提供的结构综合评价运营,确保没有重复的努力.因为他们是互动的,他们的驴所能驮你所期望的多分支和甚至可以使用简单的算法的模糊明确地区一些地区和考验的可靠性).类似的算法能够寻找到屏幕不作弊.
数据存储在计算机能聚集来显示表现通过例(例如,医生,提供护理之家,或机构).数据到一个病人能追踪时间看变化在功能,而反过来也可以聚集.
下一个重要的一步是将发展重点从单一点的护理相关因素的连接的照顾.在一个理想的系统,病人的信息将被连接到追踪地位的变化许可证,个人从这种治疗的移动工具,another.thus、医院admis,少,护理的信息将被合并成一个共同的computer-linked记录,它允许一个微量病人的运动和地位.
最后,宜的过程中有数据保障以及结果.这一组合可以允许分析护理的元素是什么为各类病人有很大影响.
这种方法能保证质量已经在望如果我们准备投资数据系统,致力于收集标准化的信息.它需要改变我们的一些基本模式是否有想决定我们做了正确的事情如果可以把任何不同.
两种基本思想的变化是必要的,为了建立一个结果为基础,而这两种哲学为临床医生是很困难的.