DoCare重症临床信息系统的建设与应用

重症监护临床信息系统作为临床信息系统的组成,以其产生信息量大、采集数据及时、临床应用紧急、同时共享内容多等特点,在临床信息系统中占有重要地位,通过该系统在我院重症监护病房（ICU）的应用,实现了重症监护过程的规范化和数字化管理,使医疗信息、重症监护信息充分共享,收到了很好的效果。     

综合ICU护理干预模式及远程网络系统的效果

电子计算机的普及应用，为医院护理的发展带来了新局面，同时对医院护理管理提出了更高的要求。为此．我院于2002年建立了重症监护技术协作远程规范网络系统。并且开发研制了重症护理技术综合信息系统软件（MCAI），利用网络对全院护理人员进行指导、培训和考核。其方法简便、快捷、实用。提高了重症监护技术协作指导的效果。     

重症监护临床信息系统的开发与应用

重症监护临床信息系统的使用,使重症监护病房（ICU）的日常工作流程标准化、自动化,实现了临床各环节质量控制,提高了医疗质量。该系统能自动采集床旁监护设备的体征数据,并生成医疗护理文书,极大地降低了医护人员的工作负担,提高了工作效率。     

重症监护临床信息系统的建设与应用

重症监护临床信息系统有效提高了医护人员的工作效率,规范临床诊疗行为。笔者介绍了该系统的主要内容及特点以及在医院重症监护病区的应用,重症监护临床信息系统优化了流程、规范了流程操作、完善了评估体系。对提升医疗质量、提高临床工作效率和设备利用率、发掘信息价值具有重要意义。     

重症监护病房数字化系统解决方案

目的：研究建立重症监护病房数字化系统,为全程监护和远程监护提供支持。方法：根据“以患者为中心、以临床为基础、以实用为目的、以服务为宗旨”的原则进行总体规划和设计。结果：提出由数字化医疗仪器、仪器临床网关、重症监护信息系统、床边综合临床信息终端、护士站综合临床信息终端、重症患者探视系统、小灵通局域通讯系统、会诊示教系统、个人数字助理临床信息终端系统组成的重症监护病房数字化系统解决方案。结论：重症监护病房数字化系统是现代化医院的重要标志之一。重症监护病房数字化系统的建立将重症监护病房中每个患者的生命体征信息整合在一起,并与CIS、LIS、PACS、HIS等实现无缝连接,必将促进数字化医院的快速发展。     

基于重症监护系统实现ICU移动护理

重症监护临床信息系统（Clinical Information System,CIS）利用计算机的功能,完成计算机化的患者资料整理、记录的工具,实现病人生命体征数据的自动采集、护理记录单的自动生成,同时与HIS、LIS、CIS、PACS等系统无缝连接,真正实现重症监护病房移动护理的现代化、数字化。     

重症监护信息系统在临床中的应用

1重症监护临床信息系统的特点 重症监护信息系统把监护仪的患者生命体征值等临床信息采集并且记录下来,护士通过床边电脑系统把护理记录、交班记录、尿量、引流液等内容录入重症监护信息系统中,该系统覆盖了和重症监护相关的各个临床工作环节,能够将ICU的日常工作标准化、流程化和自动化,极大的降低了护理人员的工作负担,提高了整个工作流程的效率,为真正实现以病人为中心的医护过程、     

重症监护信息系统在急诊中心的应用

介绍了重症监护信息系统的结构,系统由医生工作站、护士工作站、设备接口、重症评分及科室管理等5个子系统构成;叙述了各子系统的功能;分析了重症监护信息系统在急诊中心监护室的应用效果。     

医院护理信息化建设实践

紧随医院信息化建设步伐,紧扣护理专业特点,以2个护理信息平台（人力资源管理信息平台和护理质量管理信息平台）和5个护理信息化子系统（排班系统、人力资源管理系统、重症监护系统、床旁PDA系统和麻醉手术监护系统）践行护理信息化建设,成效佳。     

ICU重症监护信息系统的临床应用

重症监护临床系统作为临床信息系统的组成部分,具有产生信息量大、采集数据及时、共享内容多等特点,在临床信息系统中占有重要地位。2008年12月我院正式启用麦迪斯顿医疗科技有限公司重症监护临床信息系统,配备8台笔记本,2台主机,实施移动工作站,共监护病人2809人,自动生成打印监护记录单2809份,运行1年多来取得了良好的临床效果。     

Hospitalization in neonatal intensive care units in Brazil -- 1998-2001

This study aimed at obtaining information on the development of data records in Neonatal Intensive Care Units in Brazil; comparing the number of beds in Neonatal Intensive Care Units with that in Intensive Care Units in general and assessing their distribution in different Brazilian states. There has been an increase in the number of beds and authorizations for hospitalizations in intensive care units. The percentages indicating the total number of beds for intensive care and neonatal intensive care vary from one state to another with 17% in S?o Paulo, 25% in Rio Grande do Sul and 29.5% in Paraná. S?o Paulo state presents the highest number of beds, followed by Rio Grande do Sul.     

A Pragmatic Randomised,Controlled Trial of Intensive Care follow up programmes in improving Longer-term outcomes from critical illness. The PRACTICAL study

Background  

A number of intensive care (ICU) patients experience significant problems with physical, psychological, and social functioning for some time after discharge from ICU. These problems have implications not just for patients, but impose a continuing financial burden for the National Health Service. To support recovery, a number of hospitals across the UK have developed Intensive Care follow-up clinics. However, there is a lack of evidence base to support these, and this study aims to test the hypothesis that intensive care follow up programmes are effective and cost-effective at improving physical and psychological quality of life in the year after intensive care discharge.     

Spirituality in self-care for intensive care nursing professionals

This study aimed to understand how spirituality permeates the process of caring for oneself and for others in the intensive care scenario from nursing professionals' point of view. This study used the qualitative approach of Cabral's Creative-Sensitive Method to guide information production and analysis in nine art and experience workshops. Nine nursing caregivers from the Intensive Care Unit (ICU) of a university hospital participated in the study. This article presents one of the topics that emerged during this process: spirituality in self-care, which is evidenced in the daily practices that take place through prayers, close contact with nature, as well as in the sense of connection with a Higher Power that provides peace, welfare, and greater strength to ICU caregivers' life and work. Self-knowledge emerged as an essential practice in caring for oneself, in order to deliver better care to others.     

医嘱摆药等差数列模型算法研究

本文介绍了电子特护记录单在ICU（重症监护病房）的应用情况。电子特护记录单在本ICU顺利运行6个月,提高了护士工作效率,减少了护理记录单的涂改,差错现象,有利于ICU的信息化管理。     

电子特护记录单在ICU的应用与效果评价

本文介绍了电子特护记录单在重症监护病房（ICU）的应用情况。电子特护记录单在本ICU顺利运行6个月,提高了护士工作效率,减少了护理记录单的涂改、差错现象,有利于ICU的信息化管理。     

The cultural meaning attributed to the intensive care unit by patients and their parents: a link between the edge of the abysm and freedom

The purpose of this ethnographic study was to identify the cultural meaning that patients in an intensive care unit and their relatives attribute to the hospitalization process. Data were collected by means of participant observation and interviews with 17 participants (clients and their family), during hospitalization. Data were classified in tree categories: 1) ICU, the abysm border: a strange and scary place; 2) ICU: the link between the abysm border and freedom; 3) discharge from ICU: freedom of life. The main theme was: "Intensive Care Unit--a link between abysm border and freedom". Authors considered relevant to unveil the cultural meanings involved in the situation in order to provide elements for a personalized care to the client and family.     

Relatives' experience of intensive care: the other side of hospitalization

This study aims at understanding the experience concerning family members of patients in the Intensive Care Unit (ICU), with the purpose of contributing to care humanization in this context. Considering the nature of the research object, this research was carried out to understand the phenomenon Being a family that experiences the hospitalization of a family member in ICU. Phenomenology was used as a methodological reference framework. Seventeen family members of adult patients in the Intensive Care Unit (ICU) at the Santa Casa in Londrina were interviewed from September to December 2004. Through analysis of these interviews, some theme categories emerged: difficult, painful, speechless experience; experiencing and recognizing somebody's life: approaching the patient's suffering; break-up of the family's daily routine; fear of having a family member die; ICU: a fearsome scene, but necessary; concern with family care. Some issues related to the family's attendance in the ICU were discussed, contributing to the establishment of humanized care delivery to critical patients and their families' uniqueness.     

Surgical Admissions and Treatment Outcomes at a Tertiary Hospital Intensive Care Unit in Ethiopia: A Two-Year Review

BackgroundIntensive Care Unit (ICU) is a special unit where critically ill patients who require advanced respiratory or hemodynamic support are admitted. Little has been published about surgical intensive care unit patients in Ethiopia. The aim of this study was to assess the pattern of admission and treatment outcomes of adult surgical patients admitted to the Intensive Care Unit at St. Paul''s Hospital Millennium Medical College (SPHMMC).MethodsA two-year retrospective medical record review of all adult surgical patients admitted to Intensive Care Unit at St. Paul''s Hospital Millennium Medical College.ResultsSurgical patients made up 91(22.1%) of 411 admissions of adult intensive care unit. Of these, 82 (M: F = 1.5:1) patients were analyzed. Age ranged from 16 to 82 years with a mean age of 43 years (SD +/-18.2). Emergency admissions accounted for 70(85.4%) cases. The top three primary admission diagnoses were generalized peritonitis secondary to perforated viscus (25,30.5%), bowel obstruction (21,25.6 %) and trauma (13,15.9%). Acute respiratory failure (38,46.3%) and septic shock (23,28.0%) were the leading indications of intensive care unit admission. Most patients (62,75.6%) received mechanical ventilatory support. The mean length of intensive care unit stay was 7.3 days (SD+/-5.2).Death occurred in 33(40.2%) patients. Mortality was higher in those who stayed for 48 hours (OR=5.6;95% CI 1.60–19.69; p=0.007) and in ventilated patients (OR=5.3; 95% CI 1.41–19.98; p=0.013).ConclusionThe observed mortality in this review was higher than the one in most reports. It was significantly high in patients who stayed for 48 hours and in those who required mechanical ventilatory support.