基于数据挖掘的临床路径系统研究与设计

针对目前临床路径发展面临的问题,本文提出了基于数据挖掘的临床路径信息化设计方案。运用数据挖掘技术,从医院现有的海量数据中挖掘出病种的与医院现有条件相适应的临床路径,缩减了其制定的周期和费用。基于数据挖掘引擎的临床路径信息化解决方案,实现与医院现有系统无缝连接,为临床路径的发展提供一种新的思路。     

信息化临床路径管理实践体会

该文通过对苏北人民医院实施信息化临床路径管理工作的总结分析,列出了该院信息化临床路径管理实施的方法及成效.同时,就信息化临床路径管理工作的难点进行了初步探讨.     

基于临床路径的“3＋3”信息系统初探

医院信息化管理已成为当代医院管理的重要手段,信息化平台也成为临床运作的重要工具。临床路径信息化管理是医院发展的主要趋势。上海交通大学附属第六人民医院作为卫生部试行临床路径管理的试点医院,在临床路径实施过程中,创新管理运作模式,提出了基于临床路径的＂3＋3＂信息系统。文章介绍了该系统的架构、设计理念及其应用成效。该系统是临床路径实施信息化管理的实践应用。实践证明,使用信息化手段推动临床路径的试点实施,达到了强化医院精细化管理的目的 。     

信息化临床路径管理应用实践

本文从计划、实施、检查改进方面阐述了临床路径信息化建设过程中的问题及应对措施,对如何构建一个符合医院现状,将医院管理与临床一线工作有机结合的临床路径信息化平台做了有益的探索和实践,以期对目前许多医院的临床路径建设工作有一定的帮助。     

浅议信息化临床路径在医院的应用

作为新医改重要内容之一的临床路径管理在国内医院的应用目前仍处于探索阶段.该文从阐述手工模式临床路径的弊端人手,分析了开展信息化临床路径工作的优势及可行性,进一步构建整合多系统数据的信息化临床路径管理模式,并对实际实施过程中的问题与挑战进行探讨.     

临床路径信息化存在的问题及对策分析

介绍了实现临床路径信息化的必要性,分析了临床路径管理系统在信息化水平、功能规范、标准化等方面存在的问题,给出了功能规范建议,指明了其发展方向,并提出该系统设计在选择软件方面的建议,对促进临床路径信息化的发展、推动临床路径管理系统的成熟和完善具有一定的指导意义。     

室上性心动过速临床路径的信息化管理及效果分析

目的评估临床路径信息化管理在室上性心动过速临床路径实施中的成效。方法心内科入选实行信息化管理前后共310例室上性心动过速临床路径的病例,记录每例入径病例的住院时间、变异情况、住院费用情况。结果实行信息化管理的路径,其住院天数及住院费用均显著少于未实行信息化管理的病例,同时信息化管理路径的临床变异率较无信息化路径管理显著减少,经分析为可控变异减少所致。结论信息化管理可减少临床路径住院时间及住院费用,同时可降低可控变异数量。     

临床路径信息化建设与医院的可持续性发展

目的：探索临床路径信息化建设对医院可持续性发展的影响。方法：开展病种临床路径管理研究工作,实现医院临床路径信息化建设。结果：实施临床路径管理,可优化诊疗流程,提高医疗工作效率;合理利用医疗资源,以最佳方案及流程规范医疗行为,全面提高医疗质量;信息化建设助力临床路径的开展。结论：临床路径信息化建设为医院的可持续性发展提供有力的保障。     

基于信息化平台的临床路径管理探索

医院信息化平台建设为电子化临床路径管理提供了支持.阐述了以DRGs为依据遴选病种,做好路径数据准备,结合医院实际构建适宜的电子临床路径管理系统,分析了以信息化为基础的临床路径实施效果及存在问题.     

信息化是实施临床路径的有力支撑

临床路径的实施,有效地缩短了患者的住院时间,降低了患者的住院费用,并且保证了疾病的治疗效果。临床路径是一种科学的管理方法。它的存在不依赖于信息化,但是没有信息化,临床路径管理想要真正得以实现则是无源之水。     

Using operational information and information systems to improve in-patient flow in hospitals

PURPOSE: To consider how information and information systems can be used to support improving patient flow in acute hospitals (a key target for the National Health Service in England), and the potential role of the National Programme for Information Technology currently being developed. DESIGN/METHODOLOGY/APPROACH: The literature plus past and present research, teaching and consulting experience with all levels of the National Health Service is drawn on to consider information provision and requirements. FINDINGS: The National Programme for Information Technology specifies many features designed to support improving patient flows, though timescales for implementation are longer than those for the pledged flow improvements, and operational use of this type of information system has been problematic in the National Health Service. RESEARCH LIMITATIONS/IMPLICATIONS: The work is limited to the National Health Service and information systems in use and planned for it. The National Health Service access targets, flow improvement initiatives and the National Programme for Information Technology apply primarily to England. PRACTICAL IMPLICATIONS: Some bed/flow management information systems currently in use incorporate tools and capabilities in advance of what is outlined in the National Programme for Information Technology, and some rare cases of culture changes in information system use have been achieved. One should learn from these to inform development and implementation of National Programme systems. These existing information systems and approaches may also be useful to hospitals considering systems prior to implementation of the National Programme for Information Technology. ORIGINALITY/VALUE: There has been very little consideration of the use of operational information and information systems for bed/flow management in the literature. Development and implementation of National Programme for Information Technology systems should build from an understanding of the practice and context of bed/flow management.     

基于临床信息系统及知识管理的临床路径信息系统研究与开发

临床路径作为提升医疗质量、控制医疗成本、优化医疗服务流程的管理工具,在国内外的医院管理中得到了广泛的应用。以医院知识管理为指导思想,建立在临床信息系统基础上的临床路径信息系统,有利于科学定制临床路径、减少医护人员的工作量,保证快速、高效临床路径信息的共享及反馈机制的建立。本文就临床路径信息系统的需求分析、系统设计及功能实现等方面作了深入的探讨并对该系统在未来的应用作了可预期的展望。     

临床路径信息系统功能模块构成探讨

临床路径信息系统建设薄弱已成为临床路径管理中的一大瓶颈。在对临床路径流程分析的基础上,探索临床路径信息系统功能模块构成,建立功能完备、信息处理能力强、操作简便以及普及性好的临床路径信息系统,对于临床路径管理具有现实而深远的意义。     

Performance and cost evaluation of health information systems using micro-costing and discrete-event simulation

Innovation and health-care funding reforms have contributed to the deployment of Information and Communication Technology (ICT) to improve patient care. Many health-care organizations considered the application of ICT as a crucial key to enhance health-care management. The purpose of this paper is to provide a methodology to assess the organizational impact of high-level Health Information System (HIS) on patient pathway. We propose an integrated performance evaluation of HIS approach through the combination of formal modeling using the Architecture of Integrated Information Systems (ARIS) models, a micro-costing approach for cost evaluation, and a Discrete-Event Simulation (DES) approach. The methodology is applied to the consultation for cancer treatment process. Simulation scenarios are established to conclude about the impact of HIS on patient pathway. We demonstrated that although high level HIS lengthen the consultation, occupation rate of oncologists are lower and quality of service is higher (through the number of available information accessed during the consultation to formulate the diagnostic). The provided method allows also to determine the most cost-effective ICT elements to improve the care process quality while minimizing costs. The methodology is flexible enough to be applied to other health-care systems.     

Computing in clinical departments: implications for the design of hospital information systems.

Information technology is of increasing importance to the health service. Two main types of system have grown up, those in clinical departments and central administrative systems. It is important to consider their inter-relationships. A clinical system in the Renal Unit at Manchester Royal Infirmary is described, which is typical of many departmental systems. Further work is reported demonstrating an impressive commonality in the requirements of different clinical disciplines and supporting the view that departmental systems are a valuable source of accurate management data. The experience gained from designing departmental systems is reviewed. It is concluded that the participation of users is essential to the successful design and implementation of systems in the National Health Service and that departmental systems have a crucial role to play in the development of district information systems.     

基层医院推行临床路径管理的探索

目的探索基层医院推行临床路径工作方法。方法因地制宜,多部门(医保、药学、绩效办)联动,结合信息系统,制定推行计划,逐步推进医院临床路径工作。结果出院患者中进入临床路径管理比例逐步增高。结论多部门联动,因地制宜,能够推进临床路径管理工作。     

标准化通用临床路径信息系统分析与设计

介绍了临床路径应用现状、临床路径业务流程、信息流程和管理需求,并从系统设计目标与原则、系统结构、系统功能、系统数据库等4个方面分析标准化通用临床路径信息系统的体系结构和设计方法。     

苏州市妇幼卫生信息化建设实践与探索

目的介绍苏州市妇幼卫生信息平台建设情况,探讨利用信息化提高妇幼健康服务于管理水平的方法。方法应用计算机、互联网技术,建设基于区域卫生信息平台的妇幼卫生信息系统,实时采集婚前保健、孕前保健、围产保健及儿童保健的健康信息,对妇女儿童健康状况实时监测和管理。结论妇幼卫生信息化建设是妇幼健康事业发展的必然趋势,信息化提高了妇幼健康管理水平,提高了管理的时效性、准确性和决策的科学性。     

医院信息系统档案管理及作用

医院信息系统档案是伴随着信息系统的建设和发展产生,有图纸类、电子类、文本类,对其管理首先根据档案的属性制定相关制度及安排相应的人员进行管理;其次根据档案不同的形态进行分类管理。医院信息系统档案的作用主要为：为医院提供决策数据;为诊疗提供有效服务;为管理提供有序帮助,促进医院信息系统良性发展。