Wu Pei-Hua, Lin Wen-Li
Cancer Center, Chimei Hospital, ROC.
Hu Li Za Zhi. 2009 Dec;56(6):55-62.
BACKGROUND & PROBLEMS: Cancer patient numbers have continued to rise in recent years. In terms of deaths from various cancers, malignancies are involved in 28.9% of cases. Over the course of disease contraction, treatment and aftercare, patients face unease and pressure of various forms and degrees. Patients may abort treatment due to treatment pain and discomfort. The case manager may play a positive role by following up at appropriate moments to understand patient needs and deliver proper resources in order to avoid cancer recrudescence, which may delay treatment progress.
The objective of this study was to improve nursing quality and management performance in cancer patient care. Through the integration of the management information system, A "Cancer Case Screening System" was built using a management information system to shorten the amount of time spent on scanning new cases and to reduce the rate of scanning error.
Using a decision matrix, the research team proposed the following solution: (1) Define the system infrastructure currently employed in hospitals; (2) Discuss the Cancer Cases Screening System workflow and determine system specifications; (3) Write the Cancer Cases Screening System program to establish an effective management information system.
The time spent on scanning case per day dropped from 117.14 to 28.57 minutes. The error rate was also reduced from 34.65% to 8.87%. These results achieved the objective of the project.
Promoting the developed screening system in the broader medical community can help reduce medical treatment costs and increase treatment continuity. This project may be considered and referenced by managers of relevant medical organizations.
近年来癌症患者数量持续上升。在各类癌症导致的死亡病例中,恶性肿瘤占28.9%。在疾病确诊、治疗及后续护理过程中,患者面临着各种形式和程度的不适与压力。患者可能因治疗的疼痛和不适而中断治疗。个案管理员可通过适时跟进,了解患者需求并提供适当资源,发挥积极作用,以避免癌症复发,进而可能延误治疗进程。
本研究的目的是提高癌症患者护理的质量和管理绩效。通过整合管理信息系统,利用管理信息系统构建了一个“癌症病例筛查系统”,以缩短扫描新病例的时间并降低扫描错误率。
研究团队使用决策矩阵提出了以下解决方案:(1)定义医院目前采用的系统基础设施;(2)讨论癌症病例筛查系统的工作流程并确定系统规格;(3)编写癌症病例筛查系统程序,建立有效的管理信息系统。
每天扫描病例的时间从117.14分钟降至28.57分钟。错误率也从34.65%降至8.87%。这些结果实现了项目目标。
在更广泛的医疗社区推广已开发的筛查系统有助于降低医疗成本并提高治疗的连续性。该项目可供相关医疗组织的管理人员考虑和参考。