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[计算机辅助报告。部门信息系统使用经验]

[Computer-assisted reporting. Experience with the use of a departmental information system].

作者信息

Philippson M, Caimi F, Rovere G

机构信息

Servizio di Radiologia, Ospedale di Desio, Milano.

出版信息

Radiol Med. 1991 Oct;82(4):401-5.

PMID:1767044
Abstract

Since April 1989, a departmental information system has been working at the Radiology Dept. of Desio Hospital, Desio, Milan. The system has six work-stations, connected in a local network. The Proram program (Metrika, Verona) is employed, which allows the computerized management of departmental activities. After a short description of Proram's functions and of their advantages, a special attention is paid to the reporting activity, as limited to normal reports. The latter can be made either as free or as codified and previously stored texts. The percentage of use of codified reports (49%) is evaluated on the basis of about 8,000 X-ray exams per year. Through the analysis of percentage data of codified reports, according to exam categories, previously stored reports appeared to be more frequent for inpatients and for emergency examinations (58% of overall figure). Codified reporting appeared to be proportionally less employed in the most specialized diagnostic examinations. On the whole, considerable time was saved, and the number of misprints decreased; moreover, higher language standardization was achieved. More detailed information was thus available for the clinician.

摘要

自1989年4月起,米兰德西奥市德西奥医院放射科开始运行部门信息系统。该系统有六个工作站,通过局域网连接。使用的是Proram程序(Metrika公司,维罗纳),它能对部门活动进行计算机化管理。在简要介绍Proram的功能及其优点后,特别关注了报告活动,这里仅限于常规报告。常规报告可以是自由格式的,也可以是编码并预先存储的文本。根据每年约8000例X光检查评估编码报告的使用比例(49%)。通过分析编码报告的百分比数据,按检查类别来看,预先存储的报告在住院患者和急诊检查中更为常见(占总数的58%)。在最专业的诊断检查中,编码报告的使用比例相对较低。总体而言,节省了大量时间,印刷错误数量减少;此外,语言标准化程度更高。从而为临床医生提供了更详细的信息。

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