- 學位論文
建構加護病房臨床資訊系統提升病房自動化效能－以心臟血管外科為例
Constructing a Clinical Information System of an Intensive Care Unit to Improve Ward Automation Effectiveness：An Example of Cardiovascular Surgery
摘要
加護病房之病患通常為重症、需特殊照護者，因此病床邊都會需要接上各式各樣的監測儀器，用來維持病患的生命及監測病患的生命徵象，而病患的生命參數必須由護理師定時記錄；觀察發現，護理人員在床邊以紙本方式記錄病患生命參數後，必須再返回護理站或至行動護理車旁，將抄寫的資料逐一輸入病患照護系統，導致醫護人員重複輸入文書工作，尤其對於站在第一線工作照顧急重症加護病房的醫護人員，造成不必要的工作負擔。 隨著資訊技術的進步及環保提倡，病歷資料漸趨電子化，本研究於心臟血管外科加護病房建構一套臨床資訊系統，以HL7與院內系統及監測病人資訊的床邊儀器進行資料交換，並建立電子化的表單減少人工書寫作業，原本需手寫的裝置監測數值與參數改善成直接從儀器上傳到臨床資訊系統零錯誤率，成功幫臨床護理人員每日節省約76.8分鐘，讓臨床人員有更多時間專注於照護病患，並提昇醫師診斷的效率，更能保障病人的安全。
並列摘要
Patients in intensive care units are usually critically ill in need of special care, and there are many device and vital signs monitors to help clinical personal care them at bedside. The ICU nurse has to record these device parameters and vital signs by order. With the progress of information technology, medical records data gradually electronic, nurses in the bedside by way of paper to record the patient's life parameters must be back to the nursing station or nursing car, the copy of the data entered into the patient care system, resulting in more clinical staff clerical workload especially in Intensive Care Unit (ICU). In this study, a clinical information system was constructed in the ICU of Cardiovascular Surgery. The Clinical Information System exchange data with the Hospital Information System and patient bedside equipment through Health Level Seven (HL7). In addition, we create electronic forms to reduce manual writing and successfully help clinical therapists save 76.8 minutes to key in these dates into NIS per day. The original device was wrote to monitor the value and parameters into a direct upload from the instrument to the clinical information system zero error rate.