院前急救病历电子化管理系统应用效果评价

Appraisal of electronic administration analysis system used for pre-hospital records

目的通过与病历手工统计数据对比，分析院前急救电子病历管理分析系统的查询和统计功能使用是否达到开发的预期效果。方法以2007年6月26日至12月26日期间“急救病历”数作为研究对象，分为电子病历管理分析系统统计和手工方法统计两组，选取每月平均急救患者数、急救患者静脉输液率、心电监护率、测血糖率、测血氧饱和度率、急救患者院前救治率、器械设备使用率、数据统计查询所需时间数据为代表，应用统计学方法进行比较分析。每月平均急救患者数和数据统计需要时间，采用两样本均数t检验进行比较，P〈0．05为差异有统计学意义；静脉输液率、心电监护率、测血糖率、测血氧饱和度率，采用两样本率χ^2检验进行比较，P〈0．05为差异具有统计学意义；急救患者救治率和器械设备使用率，采用两样本率u检验进行比较，P〈0．05为差异有统计学意义。结果两组在每月平均急救患者数、静脉输液率、心电监护率、测血糖率、测血氧饱和度率、急救患者救治率、器械设备使用率数据统计，差异无统计学意义（P〉0．05）。两组在数据统计所需时间比较，差异有统计学意义（P〈0、01）。结论电子病历管理分析系统达到开发的预期效果，使用方便，统计查询速度明显快于手工统计，查询与统计结果具有可信性。

Objective To study the value of electronic administration analysis system used for pre-hospital records in comparison with statistic data processed manually, Method The data of ＇first aid medical records＇ collected from Jane 26, 2007 to December 26, 2007 in Wuxi Emergency Center, Wuxi, China were taken for analysis. The items for comparison included the average number of emergency patients monthly, percentage of intravenous infusion, proportion of ECG and blood oxygen saturation monitoring, rate of blood glucose measurement, number of pre-hospital treatment, frequency of using medical devices and time taken for answer to inquires. The comparison was carried out between statistic data processed manually and those processed electronically. Results Between two different methods of statistic process, there were no significant in all items （ P 〉 0.05） except the shorter time required for electronic process to answer the inquires （ P 〈 0.01）. Conclusions The electronic administration analysis system for the records of emergency patients is fully developed to meet the expectation in terms of quick answer to inquries with credibly and precisely ntanerical values.