Maresh M
Baillieres Clin Obstet Gynaecol. 1990 Dec;4(4):699-710. doi: 10.1016/s0950-3552(05)80339-6.
A well-designed computerized data collection system allows an accurate, complete data-set to be compiled for all pregnant women. It should be able to produce all the documentation necessary for pregnancy care, with minimum delay, and avoid repetitive data entry. Data is stored on computer on the back of operational tasks so that it may be subsequently used for audit. In addition it may be used for research purposes. Patient care can be improved if the computer is programmed to react to certain items being entered by requesting further relevant data-items. This therefore acts as a teaching method. A further extension of this is to use the data to help reach a diagnosis and thus suggest a logical management. A computerized data collection system cannot bring order out of chaos. Before introducing one there must be well-stated objectives of what is required from it. It must be clearly stated what is to be collected by whom and for what purpose. Apart from the capital outlay there may be a need to set money aside for revenue purposes for additional staff involved in maintaining the system. If a large system is being introduced then this will have considerable implications with regard to the work done by some staff, and job descriptions may need renegotiation--an aspect usually overlooked.
一个设计良好的计算机化数据收集系统能够为所有孕妇编制准确、完整的数据集。它应能在最短时间内生成孕期护理所需的所有文件，并避免重复录入数据。数据存储在计算机中，作为操作任务的附属内容，以便随后用于审核。此外，它还可用于研究目的。如果计算机被编程为在输入某些项目时通过请求进一步的相关数据项做出反应，那么患者护理可以得到改善。因此，这起到了一种教学方法的作用。对此的进一步扩展是利用数据来帮助做出诊断，从而提出合理的管理建议。计算机化数据收集系统无法在混乱中建立秩序。在引入该系统之前，必须明确阐述对它的要求目标。必须清楚说明由谁收集什么以及出于什么目的。除了资本支出外，可能还需要预留资金用于维持系统所需的额外工作人员的收入支出。如果要引入一个大型系统，那么这将对一些工作人员的工作产生重大影响，可能需要重新协商工作描述——这是一个通常被忽视的方面。
