Härle A
Orthop. Univ.-Klinik, Münster.
Z Orthop Ihre Grenzgeb. 1989 Jul-Aug;127(4):488-91. doi: 10.1055/s-2008-1044710.
Documentation and quality control in hospitals are not only required due to legal obligations, but should be a representation, how physicians see themselves. The fast changes in medical treatment procedures makes adequate techniques of information management indisposable. In the past data analysis in hospitals was characterized by a too strong restriction in variables under study, and a too sharp project orientation with the consequences, that many tasks had to be done repeatedly and an overview on the whole situation wasn't achieved either. So in recording postoperative wound sepsis many separate aspects have to be taken into consideration and microbiological results have to be stored in a way, that differentiation over time is possible. For medical data management a time oriented database structure is therefore advisable and more adequate than a relational one.
医院的文档记录和质量控制不仅是出于法律义务的要求，而且应该体现医生对自身的认知。医疗治疗程序的快速变化使得适当的信息管理技术必不可少。过去，医院的数据分析存在对研究变量限制过强、项目导向过于狭窄的问题，结果导致许多任务不得不重复进行，也无法全面了解整体情况。因此，在记录术后伤口感染时，必须考虑许多不同方面，并且微生物学结果的存储方式应便于随时间进行区分。所以，对于医疗数据管理而言，面向时间的数据库结构比关系型数据库结构更可取、更合适。
