Leyerle B J, LoBue M, Shabot M
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
Int J Clin Monit Comput. 1990 Apr;7(2):83-9. doi: 10.1007/BF01724200.
Computers are beginning to be utilized extensively for direct patient care, assisting nursing and medical staff with data collection and review at the bedside. However, most clinical data management systems are optimized for bedside patient care and offer limited resources for multi-patient data analysis. At Cedars-Sinai Medical Center, a network of computer systems has been developed to provide linkages between clinical, administrative and outcome data for Surgical Intensive Care Unit (SICU) patients. Increasingly, such data is needed to evaluate the relationship between severity of illness and patient outcome and the utilization of expensive critical care resources. Over the parts 3 years, comprehensive data on 6,755 consecutive SICU patients receiving 18,394 days of care have been accumulated by our PDMS. Using linkages constructed to other hospital systems and databases, trends for severity of illness, severity adjusted survival, census, bed utilization, nursing utilization and many other parameters have been constructed. These linkages are valuable in documenting cost-effective and medically-effective patient care practices.
计算机开始广泛应用于直接的患者护理，在床边协助护理和医务人员进行数据收集与审查。然而，大多数临床数据管理系统是针对床边患者护理进行优化的，用于多患者数据分析的资源有限。在西达赛奈医疗中心，已开发出一个计算机系统网络，以提供外科重症监护病房（SICU）患者的临床、管理和结果数据之间的联系。越来越需要此类数据来评估疾病严重程度与患者预后之间的关系以及昂贵的重症监护资源的使用情况。在过去三年中，我们的患者数据管理系统（PDMS）积累了6755例连续入住SICU患者接受18394天护理的综合数据。利用与其他医院系统和数据库建立的联系，构建了疾病严重程度、严重程度调整后的生存率、人口普查、床位使用、护理使用及许多其他参数的趋势。这些联系对于记录具有成本效益和医疗效果的患者护理实践很有价值。
