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The continuous quality improvement has become a trend in the contemporary medical society, and that can be achieved by the specialty database implement. Decision-support system in the academic and clinical aspects are included in the process such continuous quality improvement. The database has its limitation in the decision-support due to deficiency of on-line analytic function. The data warehouse offers the sophisticated function for decision-support processes. However, the implement of data warehouse may face a lot of obstacles, included expensive cost and large personnel. The authors had previously established a database of orthopedics, which collected the patients' data since 2002. The new system was constructed based on this specialty database, the knowledge architectures was build up via specialists committee and accreditation indicators.
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