信息化提升重症医学管理质量的应用实践  

Practice of improving the management quality of critical care medicine based on informatization

作　　者：龙思哲[1] 刘勇军[2] 莫远明[1] 白利平[2] 王毅[1] 李礼安[3] 吴健锋[2] 张武军[1] Long Sizhe;Liu Yongjun;Mo Yuanming;Bai Liping;Wang Yi;Li Li′an;Wu Jianfeng;Zhang Wujun(Center for Information Technology and Statistics,First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China;Department of Critical Care Management,First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China;Department of Medical Affairs,First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院信息数据中心,广州510080 [2]中山大学附属第一医院重症医学科,广州510080 [3]中山大学附属第一医院医务处,广州510080

出　　处：《中华医院管理杂志》2020年第9期742-746,共5页Chinese Journal of Hospital Administration

摘　　要：信息化在临床诊疗管理中发挥着重要作用,然而学科特殊性使重症医学信息化建设面临数据无法高效应用、诊疗操作依从性低、缺乏智能质控工具等难题。作者探讨基于数据驱动的重症医学信息化管理新模式,通过升级临床信息系统、建立单病种质控系统、引进综合智能分析平台、搭建开放式远程平台,打破重症医学信息化瓶颈,实现ICU信息高效采集交互,诊疗流程自动监测预警,有效提升医护人员按指南操作的依从性和执行力,提高学科诊治能力和管理效能,推动区域重症医学信息的同质化发展。Informatization plays an important role in the management of clinical diagnosis and treatment.However,due to the specialty of the discipline,the informatization construction of critical care medicine(CCM)is faced with such problems as the inefficient application of data,the low compliance of diagnosis and treatment operation,and the lack of intelligent quality control tools.The authors discussed the new mode of CCM information management based on data driven.By upgrading clinical information system,establishing single disease control system,introducing comprehensive intelligent analysis platform and building open remote platform,the bottleneck of CCM informatization was broken.The information collection and interaction in ICU was realized,the automatic monitoring and early warning of diagnosis and treatment process was realized,the operation of medical staff according to the guidelines was effectively improved,and the ability of diagnosis and treatment and management efficiency was improved.Furthermore,the homogenization of regional critical medical information could be promoted.

关 键 词：重症医学 数据驱动 临床信息系统 单病种质控 远程医疗 

分 类 号：R197.32[医药卫生—卫生事业管理]