基于全过程诊疗数据的医疗机构传染病预防控制信息系统的研发与应用

Development and application of infectious disease prevention and control information system in health care institutions based on the whole process treatment data

目的研发适用于医疗机构的新一代传染病预防控制信息系统,确保传染病管理覆盖全部就诊患者,覆盖全部诊疗过程,满足实时追踪与干预需求,全面降低漏报率、迟报率,提升整体防控能力。方法创新设计理念,研究患者在医疗机构的诊疗过程,明确主要防控节点,构建传染病风险评估模型,借助计算机技术对每个患者在医疗机构的诊疗过程开展追踪、评估、干预。结果开发了“医疗机构传染病预防控制信息系统”,全面采集了医疗业务系统中患者诊疗数据,实时监测并评估传染病相关风险,实时提醒并监控临床医务人员,辅助临床医务人员完成处置工作;系统监测预警灵敏度为98.7%,准确度为97.6%。结论研发了集监测、预警、管理、追踪、干预于一体的传染病预防控制信息系统,打破传染病管理传统监测模式固有缺陷,建立了以信息化、精准化为支撑的主动实时监测新模式。

OBJECTIVE We aim to develop a new generation of information system for the prevention and control of infectious diseases with great applicability to health care institutions in order to ensure that the management of infectious diseases covers all consulted patients and entire treatment process,as well as meeting the demand for real-time tracking and intervention,then comprehensively reducing the rate of under-reporting and late-reporting,and enhancing the overall prevention and control capability.METHODS A concept of innovative design has been developed to study the entire treatment process of patients in health care institutions.Then we identified the main prevention and control nodes,and built a risk assessment model for infectious diseases,so as to realize tracking,evaluating,and intervening in the treatment process of each patient by using computer technology.RESULTS We have successfully developed the"Infectious Disease Prevention and Control Information System(IDPCIS)",which comprehensively collected process data of patient treatment from the medical information system.The IDPCIS was of real-time capability for monitoring and assessing the risks associated with infectious diseases,thus providing alerts to help clinical staffs for interventions.The IDPCIS had a sensitivity of 98.7%and an accuracy of 97.6%.CONCLUSION We developed an information system for the prevention and control of infectious diseases that integrates surveillance,early warning,management,tracking,and intervention.It breaks the inherent flaws of the traditional surveillance way of infectious disease management and establishes a new model of active real-time surveillance supported by information technology and precision.