CAJ | 학술논문

目的以危重病人的临床过程为主线,利用全过程、全方位的管理信息流,建立ICU临床信息数据库,为治疗、护理、教学和科研提供科学依据和指南.方法借助计算机专业技术力量,对ICU临床信息的收集、归类、储存、分析、统计和输出进行科学和系统的研究.结果开发出ICU个体、整体临床信息的管理软件.结论建立了ICU电子化工作和业务流程规范,为实现医院临床医疗信息网络化创造条件;提高了业务水平,减少了ICU护士护理文件书写记录的手工作业,提高了工作效率和护理质量.
목적이위중병인적림상과정위주선,이용전과정、전방위적관리신식류,건립ICU림상신식수거고,위치료、호리、교학화과연제공과학의거화지남.방법차조계산궤전업기술역량,대ICU림상신식적수집、귀류、저존、분석、통계화수출진행과학화계통적연구.결과개발출ICU개체、정체림상신식적관리연건.결론건립료ICU전자화공작화업무류정규범,위실현의원림상의료신식망락화창조조건;제고료업무수평,감소료ICU호사호리문건서사기록적수공작업,제고료공작효솔화호리질량.
Objective Purpose By the main line of imminent patient's clinical process, we estab-lished the whole process, whole position administrative information flow; establishing ICU clinical infor-mation data base provided scientific basis and guidance for treatment, nursing, teaching and study.Method By special technology strength of computer, we carried out scientific and systematical study oncollection, classification, storage, analysis, statistics and output of ICU clinical information.Result Developed ICU individual and whole clinical information administratior computer software.Conclusion Carried forward to setup ICU electronic work and flow standard of vocational work, whichproduced condition for realizing medical clinical treatment information on network; improved ICU voca-tional level, reduced or banned writing by hand of ICU nurse's nursing document record, rapid work rateand nursing quality.