一个由临床医生设计和开发的简单住院精神科临床信息系统。
A simple inpatient psychiatric clinical information system designed and developed by clinicians.
作者信息
Tanner T B, Murray P, Allen M
机构信息
University of Pittsburgh/Western Psychiatric Institute and Clinic, PA 15213.
出版信息
Proc Annu Symp Comput Appl Med Care. 1994:621-5.
OBJECTIVE
The growth of computer technology allows clinicians to develop a separate information system to replace inefficient paper-based approaches to documenting clinical care.
METHODS
A clinician team developed a system to replace standard paper forms using computer software running on 486 PC computer. Clinicians, directing the project at every step, refined handwritten forms to create a complete word processor application merging information from an individual database.
RESULTS
A system developed outside the traditional hospital information system simplifies the generation of a variety of required inpatient documents (treatment plans, progress notes, patient lists, and treatment summaries). A wide variety of clinicians converted from a traditional paper-based approach to the computer system.
CONCLUSIONS
Computer technology allows the local development of an information system oriented toward clinical needs. Hospital clinical information systems will benefit from the input of clinicians with experience designing a computerized solution.
目的
计算机技术的发展使临床医生能够开发一个独立的信息系统，以取代效率低下的基于纸张的临床护理记录方法。
方法
一个临床医生团队利用运行在486个人电脑上的计算机软件开发了一个系统来取代标准纸质表格。临床医生在项目的每一步都进行指导，对手写表格进行完善，以创建一个合并来自单个数据库信息的完整文字处理应用程序。
结果
在传统医院信息系统之外开发的一个系统简化了各种所需住院患者文件（治疗计划、病程记录、患者名单和治疗总结）的生成。各种各样的临床医生从传统的基于纸张的方法转向了计算机系统。
结论
计算机技术允许根据临床需求在本地开发信息系统。医院临床信息系统将受益于有设计计算机化解决方案经验的临床医生的投入。
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