植入物随访信息系统的建设与持续改进  

Construction and Improvement of the Implant Follow-up Information System

作　　者：贺晓烨[1] 王莹[1] 李得保[1] 杨圆圆[1] 

机构地区：[1]新疆医科大学第一附属医院医务部

出　　处：《中国数字医学》2018年第1期36-37,66,共3页China Digital Medicine

基　　金：新疆维吾尔自治区社科基金资助项目(编号:14BGL049)~~

摘　　要：目的:借助信息系统,搭建植入物随访系统的信息功能结构,研究随访模块的设计和实现途径,规范植入物的随访及管理,使随访工作更加便捷有效。方法:通过阅读文献、调查分析传统随访方式及现况,对随访工作提出改进意见。结果:通过信息系统的构建,改变了既往手工记录的随访模式,方便了患者信息检索,也推进了随访工作的有序开展。植入物随访率由2014年的1.45%上升至2016年的72.34%,各类重点植入物的31天重返率及并发症发生率有所下降。结论:植入物随访信息系统的建设改变了被动工作局面,简化医师的工作流程,使随访工作变得高效、准确;通过信息系统可直观、全面地了解患者情况,根据患者具体情况制定随访计划,有效保障患者安全;提高了随访人员的工作效率和信息资源的利用程度,促进了临床科研工作发展和临床医疗水平的不断提高。Objective： With the help of information system, we researched design method of follow-up module and implement way, made the follow-up and management normative and the follow-up work more effective and specifications. Methods： Through access to the literature, we analysed the traditional methods and the current situation to present an opinion of follow-up work. Results： The construction of information system changed the pattern of manual recording, which makes it easy for patients to retrieve information and promote the orderly development of follow-up work. The implant follow-up rate rose from 1.45% in 2014 to 72.34% in 2016, the return rate and complication rate of the key implants were decreased. Conclusion： The construction of implant follow-up information system changed the passive job situation, which make the workflow simplify and follow-up work efficient and accurate. Through the information system, we can make follow-up plans based on the patient＇s specific situation. This is not only good for patient safety, but also for improving work efficiency and utilization of information resources. It increased follow-up personnel＇s work efficiency, the quality of follow-up and the use of information resources. It promotes the development of clinical research and medical care.

关 键 词：植入物 信息系统 建设 改进 

分 类 号：R319[医药卫生—基础医学]