支持临床决策的电子护理记录架构设计

Architecture Design of Electronic Nursing Records for Clinical Decision Support

由于病人日常护理产生的数据量大,手工纸质护理记录共享利用困难。电子护理记录对临床护理质量提升及减少护士重复性繁琐劳动具有重要作用,且能够支持病人医疗过程的临床决策。介绍了正在开发的临床电子护理记录系统架构设计,该系统支持病人医护过程中实时联机数据采集和护理决策,实现了不同临床信息系统数据源的整合集成,对医院电子病历应用发展有重要作用。

As the day-to-day patient care data generated by large, handmade paper nursing record sharing and utilizanon ot difficulties. Electronic care record has an important role to improve the quality of clinical care and reduce nurse repetitive tedious labor, but also be able to support the clinical decision process of patient medical. This article describes the clinical electronic care records system architecture design, we are developing the system supports the patient care process in real-time on-line data acquisition and care decisions, to achieve the integration of different clinical information system data source integration, hospital electronic medical records application development important role.