背景及目的:彰化基督教醫院婦產部自民國85年3月15日開始正式利用微軟(Microsoft)公司“Access軟體”來儲存生產資料並分析剖腹產的資訊。我們發現在此軟體的應用下能很快準確的輸入資料及叫出、檢視整科和各個主治醫師生產的情況,從而檢討改進來降低一些剖腹產比率。因為癌症管理一向是醫院品質的重要指標,所以我們也自行使用Access軟體制作儲存癌症資料的資料庫,再來查看其功能是否對評鑑指標所需要的資料有所幫助。 結果:簡單易學,不用具備艱深的電腦知識,更不用寫煩雜程式。醫學中心評鑑所要求之指標性手術的資料,如超期住院(大於14天)、出院後不到14天又再度入院、手術後併發症、手術後30天內死亡等皆容易取得。 結論:我們認為微軟公司“Access 軟體”在婦癌醫學資料的儲存、分析、研究上是一個相當好的資料庫軟體。
Background and purpose: In the Department of Obstetrics and Gynecology at Changhua Christian Hospital, we started using Microsoft ”Access” software to store and analyze delivery data from obstetric patients. We noted that the database allowed us to easily monitor the delivery data of each attending physician, that, in turn, aided in the detection of problems that lowered the rate of cesarean section. Cancer management is an important concern in the quality management program of a hospital, therefore, we created databases in Microsoft Access for all data on gynecologic oncology patients to see if the databases would benefit the hospital. Results: The software is easy to learn, users do not need to have advanced computer knowledge or training. It is also not necessary to write sophisticated programs. We could easily access important data, such as prolonged hospitalization (more than 14 days), re-admission 14 days after discharge, complications of surgical procedures, mortality within 30 days of the operation, and cancer survival rates. These data are important data requested by a Medical Center. Conclusion: We believe Microsoft Access is a useful tool for monitoring gynecologic cancer patients through data collection, analysis, and research.