一个多功能,低成本和可持续的新生儿数据库系统
Joaquim M B Pinheiro1, Marilyn Fisher1, Upender K Munshi1
1Division of Neonatology, Department of Pediatrics, Albany Medical College, Albany, NY 12208, USA.
Children (Basel, Switzerland)
|February 24, 2024
概括
新生儿重症监护室 (NICU) 可以通过可靠,可定制的数据系统来提高临床性能. 这种以新生儿科医生为中心的方法,使用纸质和电子记录,有效地支持质量改善和研究.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 临床信息学是一种临床信息学.
- 健康数据管理 管理健康数据
背景情况:
- 可靠,与当地相关的数据对于新生儿重症监护室 (NICU) 改善临床绩效至关重要.
- 现有的新生儿数据库往往缺乏相关性或可靠性,特别是在纸质NICU中.
- 在NICU中的电子记录可能会受到数据不准确和有限的可定制性影响,阻碍质量改进和研究.
研究的目的:
- 描述一个简单的,以新生儿科医生为中心的,用于NICU的数据系统.
- 以最少的资源突出其30年的成功维护.
- 展示其多用途实用性,包括质量改进,管理,研究和教育.
主要方法:
- 一个混合系统,结合定制纸张和电子元件.
- 在临床工作流程中集成的以医生为基础的诊断记录.
- 多层次数据准确性和验证检查,定期报告数据质量和NICU性能.
主要成果:
- 描述的数据系统已经可靠地维护了三十年.
- 提供了数据验证方法的例子和30年来观察到的趋势.
- 该系统在高资源和有限资源的NICU环境中都表现出适应性.
结论:
- 这种可靠且易于维护的数据库可以从纸张上开发或增强现有的电子医疗记录.
- 讨论了成功实施的基本要素.
- 该系统具有适应性,适合各种NICU设置,支持持续质量改进.
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