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運用內部網路建構之放射腫瘤資訊與排程系統

Implementation of an Intranet-based Radiation Oncology Information and Scheduling System

摘要


目的:管理放射腫瘤病人資料、確保病歷完整、及病人之排程是相當重要但費力的工作。我們利用院內網路發展並建構了一套放射腫瘤部門專用的資訊與排程系統來輔助這些工作。材料與方法:我們建構了以網頁為基礎之資訊系統,可記錄放射治療病人臨床所需各項資料於資料庫中。此系統可動態顯示治療中病人、等待中病人、未完成病歷、未完成放射治療摘要等變化。系統同時亦與放射治療初始病歷、醫療影像系統、及電子病歷與檢驗系統做連結,並附帶有排程之功能。結果:此系統於 2007 年 9 月上線之後,至今已有超過 15,000 筆資料存在系統內。凡可連接院內網路之節點,登入後皆可存取本系統。放射腫瘤資訊與排程系統可依各使用者權限顯示不同畫面,各醫師之病人動態一目瞭然,科部工作人員則可以輕易調整排程。本系統更可以匯出各醫師或全科所有放射治療病人的資料,可統計分析疾病分佈、治療人數、機器使用狀況,供科部主管做為管理參考。配合使用者的需求,近年內更陸續連結癌症中心子系統、並增加住院醫師病歷覆核與批改功能。結論:利用內部網路所建構放射腫瘤資訊和排程資訊的資料庫,方便科部的運作,讓醫師可以追蹤病人目前的動向,也方便管理者的管理。此外,能夠與醫院其他系統連結並與時俱進新增功能亦為本系統之一大特色。

並列摘要


Purpose : Effective management of patient data, timely completion of records, and patient scheduling issues are important but tedious tasks. We developed and implemented a web-based oncology information system to facilitate management of patient records and task scheduling. Material and Methods: We developed a web-based interface and underlying database aimed to facilitate capture of patient-related information. This system dynamically presents patients currently on-treatment and patients on the waiting list, and also keeps track of due medical records. Integration with imaging, lab, and electronic medical record systems allows rapid physician access to relevant data. Scheduling capability was also implemented. Results : Since implementation of the system in September 2007, the database now contains over 15,000 entries. This system can be used anywhere in the hospital with Intranet access. Data is displayed according to defined privileges: physicians can easily access patient medical data, while departmental staff handles scheduling at ease. Department-wide patient demographics, patient throughput, and machine usage statistics generated by this system provides invaluable insight to aid management. Recently, several new features, including integration with Cancer Center subsystems and the ability to review residents' notes have been added to meet user needs. Conclusions: We implemented a web-based system tailored to radiation oncology workflow. This system allows physicians to keep track of patient status and provides administrative insight. The ability to progressively incorporate new functions is a highlight feature of our system.

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