Rosenthal M, Wolford RW
Saginaw Cooperative Hospitals, Michigan State University, Saginaw.
Acad Emerg Med. 2000 Oct;7(10):1171.
Resident procedure and resuscitation tracking is an onerous task required for residency accreditation and for future hospital privilege applications by the resident. To date, most tracking systems have been somewhat cumbersome and prone to data loss (forms not being filled out, recorded, etc.). Our residency program uses a palm computer database tracking system utilizing Palm III (3Com) hardware and a custom written data collection form utilizing an inexpensive, commercially available software package (Pendragon Forms (version 2), Pendragon Software Corporation, Libertyville, IL). Every resident receives a Palm III on entry into the residency. Residents enter basic demographic data and record procedures and resuscitations into the Palm III after each encounter. Generally, each patient logged requires approximately one minute for data entry. On a frequent basis, the resident's Palm is 'HotSync-ed' and the recorded data transferred to the program's central computer. Resident data are easily manipulated and reports are generated using a common, relational database program (Access97, Microsoft Corporation, Redmond, WA). We have found this system to be relatively inexpensive, to improve data capture, to reduce demands on secretarial time, and to allow improved tracking of resident procedure and resuscitation experiences.
住院医师操作及复苏记录是住院医师培训认证以及住院医师未来申请医院执业资格所需的一项繁重任务。迄今为止,大多数记录系统都有些繁琐,且容易出现数据丢失(表格未填写、未记录等)的情况。我们的住院医师培训项目使用了一个掌上电脑数据库记录系统,该系统采用Palm III(3Com公司)硬件以及一个利用廉价商用软件包(Pendragon Forms(版本2),Pendragon软件公司,伊利诺伊州利伯蒂维尔)编写的自定义数据收集表格。每位住院医师在进入培训项目时都会收到一台Palm III。住院医师在每次诊疗后将基本人口统计学数据以及操作和复苏情况记录到Palm III中。一般来说,每记录一名患者的数据大约需要一分钟进行录入。住院医师的掌上电脑会经常进行“热同步”,将记录的数据传输到项目的中央计算机。住院医师的数据很容易进行处理,并使用一个常见的关系数据库程序(Access97,微软公司,华盛顿州雷德蒙德)生成报告。我们发现这个系统相对便宜,能提高数据采集率,减少对秘书时间的需求,并能更好地跟踪住院医师的操作及复苏经历。