Michel Achim, Junger Axel, Benson Matthias, Brammen Dominik G, Hempelmann Gunter, Dudeck Joachim, Marquardt Kurt
Department of Medical and Administrative Data Processing, University Hospital Giessen, Giessen, Germany.
Comput Methods Programs Biomed. 2003 Jan;70(1):71-9. doi: 10.1016/s0169-2607(01)00197-3.
The major intent of this article was to describe the design principles of the drug-therapy documentation module of the Patient Data Management System (PDMS) ICUData, in routine use at the intensive care unit (ICU) of the Department of Anesthesiology and Intensive Care Medicine at the University Hospital of Giessen, Germany, since February 1999. The new drug management system has been in routine use since March 2000. Until 8 January 2001, 1140 patients have been documented using this approach. It could be demonstrated that it was possible to transform the formerly unstructured text-based documentation into a detailed and structured model. The mediated benefit resulted in the automatic calculation of fluid balance. Further, detailed statistical analyses of therapeutic behavior in drug administration are now possible.
本文的主要目的是描述患者数据管理系统（PDMS）ICUData中药品治疗文档模块的设计原则，自1999年2月起，该系统在德国吉森大学医院麻醉与重症医学科的重症监护病房（ICU）中常规使用。新的药品管理系统自2000年3月起开始常规使用。截至2001年1月8日，已有1140例患者使用这种方法进行记录。可以证明，将以前基于文本的无结构文档转换为详细的结构化模型是可行的。由此带来的好处是能够自动计算液体平衡。此外，现在还可以对药物给药中的治疗行为进行详细的统计分析。
