智能化导诊信息系统在儿童专科医院的构建及应用  

Construction and application of intelligent-guide information system in children's hospital

作　　者：宋楠[1] 吕娟[1] 王春立[1] 刘文[1] 迟巍[1] 刘洋[2] 邓卓 孙宏国[2] SONG Nan;LYU Juan;WANG Chunli;LIU Wen;CHI Wei;LIU Yang;DENG Zhuo;SUN Hongguo(Department of Nursing,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing,100045,China)

机构地区：[1]国家儿童医学中心,首都医科大学附属北京儿童医院护理部,北京市100045 [2]国家儿童医学中心,首都医科大学附属北京儿童医院信息中心,北京市100045

出　　处：《中国护理管理》2024年第9期1394-1398,共5页Chinese Nursing Management

基　　金：北京市属医院科研培育计划项目(PG202212)。

摘　　要：目的:构建智能化导诊信息系统,并评价该系统在儿童专科医院门诊工作中的应用效果,为提升就诊质量及效率提供参考。方法:建立规则引擎,采用信息化方法根据患儿主诉、症状和体征进行预检分诊,系统自动决策推荐就诊科室或专业,同时对接院内多个子系统,形成门诊就诊全链条的信息化导诊系统。选取北京市某三级甲等儿童医院2022年10月1日至2023年6月30日就诊患儿为对照组,采用传统的预检分诊及就诊流程;选取2023年7月1日至2024年3月31日就诊患儿为实验组,采用智能化导诊信息系统进行就诊。比较两组患儿的就诊质量,患儿及家长和门诊在岗护士对该系统的使用评价。结果:与智能化导诊信息系统应用前比较,应用后门诊退号率及投诉率有所降低(P<0.05),预检分诊准确率和满意度均有显著提升(P<0.05);患儿及家长对该系统使用的体验感、指导性、便捷性、准确性及全面性5个维度的评价得分均>4.93分,门诊在岗护士评价得分>4.13分。结论:应用智能化导诊信息系统可有效降低门诊退号率及投诉率,提升预检分诊准确率及患者满意度,有利于优化门诊就诊流程及提高护理服务质量。Objective:To develop an intelligent-guide information system,and to evaluate the effects of the system applied in the outpatient service of a children's hospital.Methods:The intelligent-guide information system was used for pre-diagnosis and triage service according to children's chief complaints,and signs and symptoms.The researcher established a rule engine based on the information collected.Then the system automatically made recommendations regarding the departments or specialties for consultation to children and family.The pre-diagnosis and triage system for intelligent-guide consultation was developed,and multiple subsystems in the hospital were connected at the same time to implement functional service modules before,during and after the outpatient service.Children treated from October 1,2022 to June 30,2023 in a tertiary grade A children's hospital in Beijing were recruited in the control group and the traditional pretest triage and treatment procedures were adopted.Children treated from July 1,2023 to March 31,2024 were recruited in the experimental group,and the intelligent-guide information system was used for children to receive outpatient service.The quality of services between the two groups of children were compared,and the system evaluation made by the children,their parents and the nurses in the outpatient departments.Results:The refund and complaint rates were reduced after the system application(P<0.05).The accuracy and satisfaction rates of disease screening were significantly improved(P<0.05).The system was evaluated in 5 dimensions including sense of experience,guidance,convenience,accuracy,and comprehensiveness after its application.The average score of children and parents was above 4.93,and the average score of outpatient nurses was beyond 4.13.Conclusion:The intelligent-guide information system can effectively reduce the rate of refund and complaints,improve the accuracy of disease screening and patient satisfaction,help optimize the outpatient treatment process,and improve the quality of

关 键 词：儿科门诊 智慧医疗 智能导诊 预检分诊 满意度 护理信息化 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]