重症监护临床信息系统的应用

介绍了重症监护临床信息系统的内容、特点、流程及与医院信息系统(HIS)的集成,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.     

Docare重症监护临床信息系统的应用研究

目的:研究Docare重症监护临床信息系统的应用。方法:对使用重症监护临床信息系统(Clinical information sys-tem,CIS)的经验进行总结。结果:该系统借助计算机自动化管理患者的临床资料并记录、整理等,有效降低ICU护理人员手工记录患者体征与护理文书的工作量。结论:该系统可与PACS、LIS和HIS等系统实现无缝连接,实现了危重患者监护过程数字化与规范化管理,充分共享医疗信息与重症监护信息,获得理想的效果。     

重症监护信息系统的临床应用

结合第三军医大学西南医院的实践,介绍重症监护信息系统的临床应用.通过数据采集程序,系统将患者数据信息自动采集并实时记录,实现护理记录单的自动生成以及病历的电子化.该系统的使用有助于提高医护人员工作效率,促进重症监护日常工作标准化、流程化和自动化.     

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在心脏外科ICU中的应用体会

ICU作为特殊的医疗现场,工作状态是紧急且需要严密监控,对监护病人的信息管理需求比普通病人更为强烈.重症监护临床信息系统通过自动采集和归档监护设备网络上的信息应用到ICU,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,从而减少了ICU护士记录患者体征和医疗护理文书的手工操作,提高了工作效率和护理质量.     

"临床信息系统"的应用与发展

本文从门诊医生工作站、住院医生工作站、病区护士工作站、移动医护工作站、医学影像系统(PACS)、实验室信息系统(LIS)、心电图信息系统、麻醉临床信息系统、重症监护临床信息系统和临床用药系统等10个方面介绍了"临床信息系统",作者认为临床信息系统发展的最高阶段是实现具有完整临床信息的电子病历.     

围术期临床信息系统应用案例分析

围术期临床信息系统应用于手术室、术后复苏室（PACU）、监护病房（ICU）。该系统的应用将直接提高医疗工作质量和效率，改善医患沟通，方便医疗举证。     

飞利浦IntelliSpace重症监护IT解决方案全程关护ICU--飞利浦ICCA临床信息系统在上海交通大学附属瑞金医院应用案例

@@医院的重症医学科的水平能够直接反映医院的综合救治能力,同时体现医院整体医疗实力,是现代化医院的重要标志。作为重症医学学科的临床基地,重症监护病房（Intensive Care Unit,ICU）应用先进的诊断、监护和治疗设备与技术,对病情进行连续、动态的定性和定量观察,并通过有效的干预措施,为重症患者提供规范的、高质量的生命支持,改善预后及生存质量。作为上海交通大学附属瑞金医院最重要的科室之一,外科重症监护病房（S-ICU）于2010年初开始使用飞利浦Intel iSpace Critical Care and Anesthesia ICCA临床信息系统,为ICU护理提供了高效、安全、精确、全面的系统支持,飞利浦公司基于外科重症监护科室的实际需求,为用户定制了多种个性化应用模块。     

重症监护临床信息系统建设与应用

根据重症监护工作性质、环境条件。并结合医院数字化ICU病房建设实践．就如何对重症监护临床信息系统的实施方法、监护设备数据自动采集技术、系统集成及无线网络应用等方面进行了探讨，重点解决重症监护临床信息系统采集数据实时、产生信息量大、临床应用紧急、同时共享内容多等问题。     

ICU护理信息化建设及临床应用

重症监护信息系统就是利用信息技术,将各个系统的信息数据进行整合,实现重症监护过程的标准化和数字化管理,充分完善医疗信息。医疗文书的书写质量,降低医疗风险,推进医疗服务质量显著提高的经验和做法,最终实现临床诊疗资源共享、护理记录结构化、特殊事件预警以及智能提醒等功能,重症监护信息系统的研发对保证重症病人安全具有重要意义。     

重症监护临床信息系统建设的几个关键问题

重症监护信息系统是医院临床信息系统的一个重要组成部分，就系统建设的几个关键问题进行了探讨，并结合自身实际提出解决方案。     

A Near Miss: The Importance of Context in a Public Health Informatics Project in a New Zealand Case Study

This article describes the near failure of an information technology (IT) system designed to support a government-funded, primary care–based hepatitis B screening program in New Zealand. Qualitative methods were used to collect data and construct an explanatory model. Multiple incorrect assumptions were made about participants, primary care workflows and IT capacity, software vendor user knowledge, and the health IT infrastructure. Political factors delayed system development and it was implemented untested, almost failing. An intensive rescue strategy included system modifications, relaxation of data validity rules, close engagement with software vendors, and provision of intensive on-site user support. This case study demonstrates that consideration of the social, political, technological, and health care contexts is important for successful implementation of public health informatics projects.     

信息化、网络化、整体化环环相扣无缝隙连接的现场救治新模式的创建体会

目的 探讨创建信息化、网络化、整体化环环相扣无缝隙连接的现场救治新模式的体会.方法 比较采用ZX120急救信息预告知系统的处理组与未采用此系统的对照组60 s内完成接听呼救电话率、接收指令后出车率、院前院内衔接率;比较处理组与对照组的心血管疾病康复出院率、猝死抢救成功率、脑部创伤康复出院率的差异;同时比较两组严重多发伤(创伤严重度评分＞30)患者的救治效果.结果两组60 s内完成接听呼救电话次数间差别有统计学意义(P＜0.05);接到调度发出出车指令后60 s内出车台次间差别有统计学意义(P＜0.05);60 s内完成院前院内衔接例次间差别有统计学意义(P＜0.05).两组心血管疾病康复出院率间差别有统计学意义(P＜0.05);猝死患者抢救成功率间差别无统计学意义(P＞0.05);脑部创伤患者康复出院率间差别有统计学意义(P＜0.05).两组中严重多发伤患者救治效果间差别有统计学意义(P＞0.05).结论 伤病员的现场施救、信息网络告知、途中救护到院内抢救、手术住院治疗等连续性急救方式,赢得了抢救伤病员的黄金时间,构建起一条环环相扣、高效快捷的现场患者救治链,能够降低突发灾害患者的伤残率和病死率.     

Neonatal intensive care and cost effectiveness.

During the past decade the rate of death among newborns weighing less than 1500 g at birth has decreased by approximately half. This dramatic reduction has resulted from the application of research findings and technologic advances, but it has proved expensive. Perhaps as a consequence of articles demonstrating the costs as well as the recognition that the overall prevalence of disabilities in infants is relatively unchanged, neonatal intensive care has recently been viewed as a possible area for cost containment. We reviewed the literature on the cost of neonatal intensive care and the limited information on other expensive medical programs and found that the cost of neonatal intensive care compared favourably, especially for infants whose birth weight was 1000 to 1500 g. Better information on the outcome of infants of very low birth weight and comparable rigorous studies of the cost effectiveness of other expensive medical programs are required, and other less easily quantified factors must be considered before decisions are made to limit neonatal intensive care on the basis of gestational age or birth weight.     

Admission source to the medical intensive care unit predicts hospital death independent of APACHE II score

This study was conducted to determine if the source of admission to the medical intensive care unit (MICU) is associated with hospital death independent of the Acute Physiology and Chronic Health Evaluation (APACHE) II score. We calculated APACHE II scores and predicted risks of hospital death for 235 patients who were admitted to the MICU. The predicted death rate was the same as the actual rate for patients who were admitted directly from the emergency department (25% vs 22%), but was less than the actual rate for patients who were transferred from hospital floors (38% vs 55%), the medical intermediate care unit (32% vs 59%), and other hospitals (21% vs 36%). Logistic regression analysis confirmed an independent association between the MICU admission source and risk of death. Our findings suggest that APACHE II does not measure illness severity accurately in all patients who are admitted to intensive care units. If our results are generalizable, using APACHE II to compare intensive care outcomes among hospitals could lead to wrong conclusions about quality of care. Improving predictions of hospital death rates among patients who are in MICUs may require the inclusion of new types of information in the classification system.     

规范重点病人手术室护理制度在减少护理纠纷中的作用

目的 探讨规范重点病人手术室护理制度在减少护理纠纷中的作用。方法 回顾分析2011-2013年规范手术室护理制度前后,重点病人手术室护理纠纷发生数量、年均纠纷发生率、纠纷补偿总额及其占业务总收入比例和患者满意度。结果 规范重点病人手术室护理制度后,纠纷发生数量减少,纠纷补偿总额及其占业务总收入比例下降,患者满意度显著提高。结论 规范重点病人手术室护理制度可以减少护理纠纷发生率,提高护理安全性。