Sistema de Informação Laboratorial integrado com ambiente clínico: uma revisão sistemática da literatura

• Ano de defesa: 2018
• Autor(a) principal: Sabino, Carlos Augusto Ferrari
• Orientador(a): Pôrto, Luís Cristóvão de Moraes Sobrino
• Banca de defesa: Freire, Sergio Miranda , Cameira, Renato Flórido
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Rio de Janeiro
• Programa de Pós-Graduação: Programa de Pós-Graduação em Saúde, Medicina Laboratorial e Tecnologia Forense
• Departamento: Centro Biomédico::Instituto de Biologia Roberto Alcantara Gomes
• País: BR
• Palavras-chave em Português: Sistema de informações laboratoriais; Revisão sistemática; Integração com sistemas; Desfecho clinico; Sistemas de informação em saúde; Integração de sistemas; Medidas de associação; Revisão; Exposição; Risco ou Desfecho
• Palavras-chave em Inglês: Laboratory information system; Systematic review; Systems integration; Clinical outcome
• Área do conhecimento CNPq: CNPQ::CIENCIAS EXATAS E DA TERRA::CIENCIA DA COMPUTACAO
• Link de acesso: http://www.bdtd.uerj.br/handle/1/14995

The aim of this study is to verify, through found evidences, the frequency of of Laboratory informations systems integration with clinical environment through the order and result functions. A systematic review was performed according to the Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) protocol to achieve this objective. For partial data extraction 127 studies were identified. The frequency distribution of the LIS functions showed that 82 (64.6%) addressed result function, 62 (48,8%), system integration function and 55 (43.3%), order function. Those who addressed these three functions integrated with systems that focus on clinical management were selected, reaching the 19 studies that led to the research conclusion. Among them, LIS was integrated with Electronic Health Records HER (11-57.9%), Computerized Physician Order Entry CPOE (4-21.1%), Computerized Decision Support System CDSS (2-10.5%), Electronic Medical Records EMR (1-5.3%) and associated CPOE to CDSS (1-5.6%). The most frequent study models were revision (n = 9) and quantitative studies (n = 7), which used 34 different variables, and four of them were found if they were repeated in two different studies. The grouping of the variables showed predominance of the order function; the result function was not relevant. The results of the studies were very diverse, without methodological uniformity, preventing statistical analysis that would identify evidence for the answer of the question. There is a growing interest in the integration of LIS with other systems that allow evaluation of the test result in a clinical context. EHR are the most frequently integrated systems with SIL in order and result functions