The Brigham integrated computing system (BICS): advanced clinical systems in an academic hospital environment

被引:66
作者
Teich, JM [1 ]
Glaser, JP [1 ]
Beckley, RF [1 ]
Aranow, M [1 ]
Bates, DW [1 ]
Kuperman, GJ [1 ]
Ward, ME [1 ]
Spurr, CD [1 ]
机构
[1] Brigham & Womens Hosp, Boston, MA 02115 USA
关键词
advanced clinical systems; Brigham integrated computing system; applications;
D O I
10.1016/S1386-5056(99)00007-6
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
The Brigham integrated computing system (BICS) provides nearly all clinical, administrative, and financial computing services to Brigham and Women's Hospital, an academic tertiary-care hospital in Boston. The BICS clinical information system includes a very wide range of data and applications, including results review, longitudinal medical records, provider order entry, critical pathway management, operating-room dynamic scheduling. critical-event detection and altering, dynamic coverage lists, automated inpatient sumaries, and an online reference library. BICS design emphasizes direct physician interaction and extensive clinical decision support. impact studies have demonstrated significant value of the system in pl eventing adverse events and in saving costs, particularly for medications. (C) 1999 Elsevier Science ireland Ltd. All rights reserved.
引用
收藏
页码:197 / 208
页数:12
相关论文
共 30 条
  • [1] POTENTIAL IDENTIFIABILITY AND PREVENTABILITY OF ADVERSE EVENTS USING INFORMATION-SYSTEMS
    BATES, DW
    ONEIL, AC
    BOYLE, D
    TEICH, J
    CHERTOW, GM
    KOMAROFF, AL
    BRENNAN, TA
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 1994, 1 (05) : 404 - 411
  • [2] Effect of computerized physician order entry and a team intervention on prevention of serious medication errors
    Bates, DW
    Leape, LL
    Cullen, DJ
    Laird, N
    Petersen, LA
    Teich, JM
    Burdick, E
    Hickey, M
    Kleefield, S
    Shea, B
    Vander Vliet, M
    Seger, DL
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 280 (15): : 1311 - 1316
  • [3] INCIDENCE OF ADVERSE DRUG EVENTS AND POTENTIAL ADVERSE DRUG EVENTS - IMPLICATIONS FOR PREVENTION
    BATES, DW
    CULLEN, DJ
    LAIRD, N
    PETERSEN, LA
    SMALL, SD
    SERVI, D
    LAFFEL, G
    SWEITZER, BJ
    SHEA, BF
    HALLISEY, R
    VANDERVLIET, M
    NEMESKAL, R
    LEAPE, LL
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 274 (01): : 29 - 34
  • [4] Does the computerized display of charges affect inpatient ancillary test utilization?
    Bates, DW
    Kuperman, GJ
    Jha, A
    Teich, JM
    Orav, EJ
    Maluf, N
    Onderdonk, A
    Pugatch, R
    Wybenga, D
    Winkelman, J
    Brennan, TA
    Komaroff, AL
    Tanasijevic, MJ
    [J]. ARCHIVES OF INTERNAL MEDICINE, 1997, 157 (21) : 2501 - 2508
  • [5] Glaser J P, 1991, J Med Syst, V15, P133, DOI 10.1007/BF00992705
  • [6] AUTOMATED MEDICAL RECORD SYSTEM
    GROSSMAN, JH
    BARNETT, GO
    KOEPSELL, TD
    NESSON, HR
    DORSEY, JL
    PHILLIPS, RR
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1973, 224 (12): : 1616 - 1621
  • [7] Automated evidence-based critiquing of orders for abdominal radiographs: Impact on utilization and appropriateness
    Harpole, LH
    Khorasani, R
    Fiskio, J
    Kuperman, GJ
    Bates, DW
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 1997, 4 (06) : 511 - 521
  • [8] HILTZ FL, 1994, J AM MED INFORM ASSN, V1, P809
  • [9] How promptly are inpatients treated for critical laboratory results?
    Kuperman, GJ
    Boyle, D
    Jha, A
    Rittenberg, E
    Ma'Luf, N
    Tanasijevic, MJ
    Teich, JM
    Winkelman, J
    Bates, DW
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 1998, 5 (01) : 112 - 119
  • [10] KUPERMAN GJ, 1995, J AM MED INFORMAT S5, V2, P137