CAJ | 학술논문

目的依靠DoCare麻醉信息系统,介绍我院麻醉门诊的工作制度和流程以及实施经验. 方法麻醉门诊术前访视了解患者并签署知情同意书,麻醉术后访视患者了解其麻醉效果和有无相关麻醉并发症. 结果与2002年～2006年比较,建立麻醉门诊后,2008年～2012年麻醉相关并发症发生率降低了0.13％(P＜0.05),麻醉相关投诉率降低了1.56/万(P＜0.05),麻醉医师平均工作时间减少了4.96h/周(P＜0.05). 结论基于DoCare麻醉信息系统的麻醉术前和术后访视集中在麻醉门诊开展,可减少医疗投诉和医患纠纷、有利于人力资源的节约,旨在为循证医学的深入开展提供一定基础.
목적 의고DoCare마취신식계통,개소아원마취문진적공작제도화류정이급실시경험. 방법 마취문진술전방시료해환자병첨서지정동의서,마취술후방시환자료해기마취효과화유무상관마취병발증. 결과 여2002년～2006년비교,건립마취문진후,2008년～2012년마취상관병발증발생솔강저료0.13％(P＜0.05),마취상관투소솔강저료1.56/만(P＜0.05),마취의사평균공작시간감소료4.96h/주(P＜0.05). 결론 기우DoCare마취신식계통적마취술전화술후방시집중재마취문진개전,가감소의료투소화의환규분、유리우인력자원적절약,지재위순증의학적심입개전제공일정기출.
Objective Depending on Docare anesthetic information system,to show the working system,procedures and implementation experience in anesthesia clinic of our hospital.Methods Pre-anesthesia evaluation and signing of informed consent,as well as post-anesthesia follow up to evaluate the anesthesia effect and identify the occurrence of anesthesia-related complications,all are conducted at anesthesia clinic.Results In comparison with 2002-2006 period,following the establishment of anesthesia clinic,the incidence of anesthesia-related complications reduced by 0.13％(P＜0.05),the complaint rate reduced by 1.56/ten thousand (P＜0.05),and the average working hours of anesthetists decreased 4.96 h/week(P＜0.05) during the period 2008-2012.Conclusions Focusing Docare information system based-preoperative and postoperative interview on anesthesia clinic could reduce medical complaints and medical disputes,and be conducive to economizing human resources,providing a certain foundation for the further development of evidence-based medicine.