利用医院信息管理平台优化医院感染管理系统功能

Application of hospital information management platform to optimize the infection management system

目的：应用医院管理系统中的大量数据源，优化医院感染管理系统功能，为临床诊断提供充分依据，简化报告操作流程，提高报卡依从性和合格率，提高感染管理科工作效率。方法感染管理科提出设想需求，信息处对原医院感染管理系统功能进行构建和优化，比较优化前后医院感染病例及多重耐药菌感染病例的漏报率、临床医生报卡依从率及合格率。结果优化后医院感染病例和多重耐药菌感染病例的报卡依从率分别从56．0％，49．4％提高到71．1％，64．0％，差异有统计学意义（χ2分别为6．41468，6．15708；P＜0．05）；报告内容合格率分别从61．4％，56．3％提高到84．8％，86．3％，差异有统计学意义（χ2分别为12．25170，14．17390；P ＜0．05）；漏报率分别从4．0％，30．1％降低到1．7％，18．3％，差异有统计学意义（χ2分别为5．42254，11．61010；P＜0．05）。结论完善后的医院感染管理系统能使临床医务人员达到资源共享，报告卡实行一卡两用，操作便捷，提高了报卡依从性和合格率；也实现了感染管理科对医院感染、多重耐药菌感染情况的实时、动态、全面监控，提高了医院感染管理科工作效率。

Objective Application of the large number of data sources of hospital management system to optimize the hospital infection management system and to provide the sufficient evidence on the clinical diagnosis , and to simplify the report process and improve the compliance and qualified rate , and to enhance the working efficiency of infection management .Methods The requirements were made by the department of infection management .Then the information department constructed and optimized the infection management system.The incidence of fail-reported infection cases and the compliance and qualified rate were compared . Results The compliance rate of infection cases increased from 56.0% to 71.1%, and the compliance rate of multiple resistant bacteria infection cases increased from 49.4% to 64.0%.The differences were significant （χ2 =6.414 68, 6.157 08, respectively, P 〈0.05）.The qualified rate of infection cases increased from 61.4%to 84.8%, and the qualified rate of multiple resistant bacteria infection cases increased from 56.3%to 86.3%.The differences were significant （χ2 =12.251 70, 14.173 90, respectively;P〈0.05）.The incidence of fail-reported infection cases decreased from 4.0% to 1.7%, and the incidence of fail-reported multiple resistant bacteria infection cases decreased from 30.1% to 18.3%.The differences were significant （χ2 =5.422 54, 11.610 10, respectively;P〈0.05）.Conclusions Optimized hospital infection management system can make the medical staff achieve resource sharing .It is convenient to operate and improves the compliance and the qualified report . The optimized infection management system achieves the real-time, dynamic and comprehensive management of the infection cases and multiple resistant bacteria infection cases , as well as improving the efficiency of the department of infection management .