中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
7期
835-839
,共5页
医院信息系统%感染管理%应用
醫院信息繫統%感染管理%應用
의원신식계통%감염관리%응용
Hospital information system%Infection management%Application
目的：应用医院管理系统中的大量数据源，优化医院感染管理系统功能，为临床诊断提供充分依据，简化报告操作流程，提高报卡依从性和合格率，提高感染管理科工作效率。方法感染管理科提出设想需求，信息处对原医院感染管理系统功能进行构建和优化，比较优化前后医院感染病例及多重耐药菌感染病例的漏报率、临床医生报卡依从率及合格率。结果优化后医院感染病例和多重耐药菌感染病例的报卡依从率分别从56．0％，49．4％提高到71．1％，64．0％，差异有统计学意义（χ2分别为6．41468，6．15708；P＜0．05）；报告内容合格率分别从61．4％，56．3％提高到84．8％，86．3％，差异有统计学意义（χ2分别为12．25170，14．17390；P ＜0．05）；漏报率分别从4．0％，30．1％降低到1．7％，18．3％，差异有统计学意义（χ2分别为5．42254，11．61010；P＜0．05）。结论完善后的医院感染管理系统能使临床医务人员达到资源共享，报告卡实行一卡两用，操作便捷，提高了报卡依从性和合格率；也实现了感染管理科对医院感染、多重耐药菌感染情况的实时、动态、全面监控，提高了医院感染管理科工作效率。
目的：應用醫院管理繫統中的大量數據源，優化醫院感染管理繫統功能，為臨床診斷提供充分依據，簡化報告操作流程，提高報卡依從性和閤格率，提高感染管理科工作效率。方法感染管理科提齣設想需求，信息處對原醫院感染管理繫統功能進行構建和優化，比較優化前後醫院感染病例及多重耐藥菌感染病例的漏報率、臨床醫生報卡依從率及閤格率。結果優化後醫院感染病例和多重耐藥菌感染病例的報卡依從率分彆從56．0％，49．4％提高到71．1％，64．0％，差異有統計學意義（χ2分彆為6．41468，6．15708；P＜0．05）；報告內容閤格率分彆從61．4％，56．3％提高到84．8％，86．3％，差異有統計學意義（χ2分彆為12．25170，14．17390；P ＜0．05）；漏報率分彆從4．0％，30．1％降低到1．7％，18．3％，差異有統計學意義（χ2分彆為5．42254，11．61010；P＜0．05）。結論完善後的醫院感染管理繫統能使臨床醫務人員達到資源共享，報告卡實行一卡兩用，操作便捷，提高瞭報卡依從性和閤格率；也實現瞭感染管理科對醫院感染、多重耐藥菌感染情況的實時、動態、全麵鑑控，提高瞭醫院感染管理科工作效率。
목적：응용의원관리계통중적대량수거원，우화의원감염관리계통공능，위림상진단제공충분의거，간화보고조작류정，제고보잡의종성화합격솔，제고감염관이과공작효솔。방법감염관이과제출설상수구，신식처대원의원감염관리계통공능진행구건화우화，비교우화전후의원감염병례급다중내약균감염병례적루보솔、림상의생보잡의종솔급합격솔。결과우화후의원감염병례화다중내약균감염병례적보잡의종솔분별종56．0％，49．4％제고도71．1％，64．0％，차이유통계학의의（χ2분별위6．41468，6．15708；P＜0．05）；보고내용합격솔분별종61．4％，56．3％제고도84．8％，86．3％，차이유통계학의의（χ2분별위12．25170，14．17390；P ＜0．05）；루보솔분별종4．0％，30．1％강저도1．7％，18．3％，차이유통계학의의（χ2분별위5．42254，11．61010；P＜0．05）。결론완선후적의원감염관리계통능사림상의무인원체도자원공향，보고잡실행일잡량용，조작편첩，제고료보잡의종성화합격솔；야실현료감염관이과대의원감염、다중내약균감염정황적실시、동태、전면감공，제고료의원감염관이과공작효솔。
Objective Application of the large number of data sources of hospital management system to optimize the hospital infection management system and to provide the sufficient evidence on the clinical diagnosis , and to simplify the report process and improve the compliance and qualified rate , and to enhance the working efficiency of infection management .Methods The requirements were made by the department of infection management .Then the information department constructed and optimized the infection management system.The incidence of fail-reported infection cases and the compliance and qualified rate were compared . Results The compliance rate of infection cases increased from 56.0% to 71.1%, and the compliance rate of multiple resistant bacteria infection cases increased from 49.4% to 64.0%.The differences were significant (χ2 =6.414 68, 6.157 08, respectively, P <0.05).The qualified rate of infection cases increased from 61.4%to 84.8%, and the qualified rate of multiple resistant bacteria infection cases increased from 56.3%to 86.3%.The differences were significant (χ2 =12.251 70, 14.173 90, respectively;P<0.05).The incidence of fail-reported infection cases decreased from 4.0% to 1.7%, and the incidence of fail-reported multiple resistant bacteria infection cases decreased from 30.1% to 18.3%.The differences were significant (χ2 =5.422 54, 11.610 10, respectively;P<0.05).Conclusions Optimized hospital infection management system can make the medical staff achieve resource sharing .It is convenient to operate and improves the compliance and the qualified report . The optimized infection management system achieves the real-time, dynamic and comprehensive management of the infection cases and multiple resistant bacteria infection cases , as well as improving the efficiency of the department of infection management .
