在资源有限的环境中数字化手术室数据:了解坦桑尼亚转诊医院的手术护理后实施
Cherinet Osebo1, Tarek Razek1, Jeremy Grushka1
1Department of Surgery, McGill University Health Centre, Centre for Global Surgery, Montreal General Hospital, Montreal, Quebec, Canada.
World journal of surgery
|June 8, 2024
概括
在穆希姆比利骨科研究所 (MOI) 通过基于网络的手术室 (OT) 录音将外科数据基础设施数字化,对坦桑尼亚来说是有前途的. 经验教训强调当地支持和培训成功的数据管理系统.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 手术数据管理手术数据管理
- 加强卫生系统 加强卫生系统
背景情况:
- 数字化手术数据基础设施对于知情政策制定至关重要.
- 坦桑尼亚的Muhimbili骨科研究所 (MOI) 实施了基于网络的手术室 (OT) 录音,这是数据管理的重要一步.
- 本研究分享了这一实施的结果,挑战和见解,以指导类似的倡议.
研究的目的:
- 评估基于网络的OT记录平台的后实施结果.
- 在平台的部署过程中识别挑战和经验教训.
- 为面临类似外科手术数据库挑战的机构提供指导.
主要方法:
- 从2023年7月开始,部署一个基于网络的平台,用于在MOI手术室 (OT) 输入未来的数据.
- 从2023年8月到2024年2月收集外科手术期间的结果数据.
- 与关键利益相关者进行半结构面试,以评估平台的功能和数据管理.
主要成果:
- 记录了4449多项手术,其中骨科/创伤主导 (3606项手术).
- 一般麻醉是常见的 (60.56%的紧急情况,44.51%的选修);在骨科/创伤和神经外科中注意到高操作日利用率.
- 实施的挑战包括确保当地支持和行政调整;经验教训强调了沟通和培训.
结论:
- 在MOI的基于Web的OT记录平台在本地支持和可扩展性潜力方面取得了成功.
- 可持续性需要持续的监测,当地资金和加强的全球伙伴关系.
- 持续的沟通和全面的培训对于成功的采用和数据管理至关重要.
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