摘要
目的针对急诊重症患者临床管理需求,构建重症医学临床信息系统,并对其临床应用效果进行评价。方法系统以临床需求为导向,采用面向服务架构设计,服务端和客户端之间松耦合,并采用有线无线深度融合的网络架构,实现了多系统信息共享、病情数据自动采集记录和信息可视化等功能。选择系统应用前后各100例患者的病历资料对系统应用效果进行分析评价。结果重症医学临床信息系统应用后,各类医疗文书处理耗时和患者ICU入住时长均显著缩短(P<0.05);医护人员满意度显著提升(P<0.05)。结论基于临床需求构建的重症医学临床信息系统可提高临床管理效率,对提升临床管理和治疗质量有积极意义;系统的开发与应用也为各类医疗信息系统的建设工作提供了参考。
Objective To construct a intensive care information system in response to the clinical management needs of emergency critically ill patients,and to evaluate the effect of its clinical application.Methods The system was oriented to clinical needs,adopted service-oriented architecture design.The server and client were loosely coupled,and the wired-wireless deep integration network architecture was adopted.The system realized the functions of multi-system information sharing,automatic collection and recording of condition data and information visualization.The medical records of 100 patients before and after the system application were selected to analyze and evaluate the effect of the system application.Results After the adoption of the intensive care information system,the time consuming processing of all kinds of medical documents and the length of patients’ICU stay were significantly shortened(P<0.05);and the satisfaction of medical and nursing staff was significantly increased(P<0.05).Conclusion The intensive care information system based on clinical needs can improve the efficiency of clinical management and has positive significance for improving the quality of clinical management and treatment.The development and application of the system also provides a reference for the construction of various medical information systems.
作者
王飞燕
沈洁
蒋伟康
盛露露
WANG Feiyan;SHEN Jie;JIANG Weikang;SHENG Lulu(Department of Emergency Medicine,Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200233,China;Department of Medical Affairs,Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200233,China)
出处
《中国医疗设备》
2024年第9期48-53,61,共7页
China Medical Devices
基金
国家自然科学基金(81602043)
上海交通大学医学院护理科研重点项目(Jyhz2033)。
关键词
信息化
重症患者
信息系统
临床需求
ICU入住时长
informationization
critically ill patients
information system
clinical needs
ICU stay
