麻醉信息管理系统信息采集准确性与系统性研究  

Study on accuracy of information collection of anesthesia information management system

作　　者：门艳华 曹汉忠[1] 尹宁[2] 张建锋[1] 陈小红[1] 王瑾[2] 郁燕[1] 

机构地区：[1]南通大学附属肿瘤医院麻醉科,江苏南通226300 [2]东南大学附属中大医院麻醉科,南京210000

出　　处：《医疗卫生装备》2017年第7期70-72,共3页Chinese Medical Equipment Journal

摘　　要：目的:对麻醉信息管理系统的性能进行研究,探讨该系统采集数据的准确性。方法:随机选择2家医院的100例患者,要求为预计手术麻醉时间大于1 h,其他不限。麻醉结束后,对比麻醉信息管理系统与监护仪在相同的时间内采集到的患者生命体征数据,每隔5 min±30 s比对一次,以最接近5 min的时间点为准,共比对12次;采用SAS 9.2软件进行统计处理。结果:该系统在全分析集(full analysis set,FAS)中总的数据准确性为92.93%,95%可信区间为86.87%~97.30%,可信区间下限大于85%;在符合方案集(per protocol set,PPS)中数据准确性均为100%,95%可信区间为92.89%~100%,可信区间下限大于85%;系统响应度、工作状态的稳定性、功能界面的操作性和特定功能的准确性均达到"优"或"良"。结论:麻醉信息管理系统能够准确地自动获取和存储手术患者生命体征,确保麻醉信息的客观性、真实性、可追溯性,大大地增加手术麻醉的安全性,在提高麻醉质量、医疗安全环节质量控制及科研方面具有不可估量的价值。Objective To explore the data accuracy acquired by the anesthesia information management system. Methods Totally 100 patients from two hospitals were selected randomly, whose anesthesia time was estimated more than 1 h. The vital signs data acquired by the system were compared with those by the monitor once every 5 min±30 s, and totally there were 12 times of comparison executed. SAS 9.2 software was used for statistical analysis. Results In FAS set the system had the total data accuracy being 100%, 95% credibility interval from 86.87% to 97.30% and the BMDL higher than 85%; in PPS set he total data accuracy was 100%, 95% credibility interval was from 92.89% to 100% and the BMDL was also higher than 85%.The system gained ＂Excellent＂ or ＂Good＂ grade in system response, stability, functional interface operability and the accuracy of special functions. Conclusion The system acquires and stores the vital signs data automatically and accurately,enhances anesthesia information in objectivity, authenticity and tractability, and has high values for enhancing anesthesia safety, medical safety and scientific research.

关 键 词：麻醉信息管理系统 数据采集 手术 麻醉 

分 类 号：R197.39[医药卫生—卫生事业管理]