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中国儿科镇静的儿科镇静评估和管理系统 (PSAMS):发展和实施报告

Ziyu Zhu¹, Lan Liu², Min Du²

¹Big Data Center for Children's Medical Care, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.

JMIR medical informatics

|August 8, 2024

概括

一个新的儿科镇静评估和管理系统 (PSAMS) 提高了儿科镇静服务的效率和数据收集. 该系统表现出高的成功率和低的不良事件,简化了中国一家大型儿童医院的护理.

科学领域:

儿科麻醉学儿科麻醉学
医疗信息学医疗信息学
临床系统工程临床系统工程

背景情况:

在手术室之外对儿科镇静服务的需求不断增加,这给中国儿科中心带来了挑战.
迫切需要创新的系统来加强儿科镇静的交付.

研究的目的:

开发和实施一个计算机化系统,儿科镇静评估和管理系统 (PSAMS),旨在优化儿科镇静服务.
简化工作流程,改善中国西南地区一家领先的儿童医院儿科镇静的数据管理.

主要方法:

儿科镇静评估和管理系统 (PSAMS) 的设计是基于实际的镇静工作流程,包括服务器软件,客户端应用程序和专用设备.
在实施过程中,一个多学科团队为PSAMS的开发和改进做出了贡献.
分析了PSAMS部署前两年 (2020年1月至2021年12月) 的数据.

主要成果:

在超过85,000名患者中,使用PSAMS进行了超过127,000次镇静手术.
在PSAMS数据库中,除了标准的医院信息系统数据外,还捕获了33个额外的变量,提供了全面的镇静信息.
一次性镇静的成功率很高,在2020年达到97.1%,在2021年达到97.5%,观察到的不良事件率分别为3.5%和2.8%.

结论:

儿科镇静评估和管理系统 (PSAMS) 有效地简化了儿科镇静过程,并减少了数据收集负担.
PSAMS为增强数据管理和多个儿科医疗保健中心未来的潜在合作奠定了坚实的基础.

关键词:

电子数据捕获电子数据捕获信息系统信息系统信息系统儿科镇静儿科镇静镇静管理镇静管理工作流的优化工作流的优化.

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