电子收集急诊科数据的方法。

Method to electronically collect emergency department data.

作者信息

Schootman M, Zwerling C, Miller E R, Torner J C, Fuortes L, Lynch C F, Merchant J A, Peterson T D

机构信息

Division of Substance Abuse and Health Promotion, Iowa Department of Public Health, Des Moines.

出版信息

Ann Emerg Med. 1996 Aug;28(2):213-9. doi: 10.1016/s0196-0644(96)70064-1.

DOI:10.1016/s0196-0644(96)70064-1

PMID:8759587

Abstract

STUDY OBJECTIVE

To describe the development and completeness of an electronic injury-surveillance system, the Rural Injury Surveillance System (RISS).

METHODS

The emergency departments of nine rural Iowa hospitals submitted information on all patients treated from May 1993 through June 1994.

RESULTS

The EDs submitted information on 23,594 patients with 32,445 different injury, disease, or follow-up visits. On the basis of comparison with the handwritten ED logbook, 90% of visits were also available in the RISS. Of the visits recorded in the RISS, 99% were also recorded in the logbook. The proportion of missing diagnostic codes decreased from a high of 22.6% in May 1993 to 8.1% in June 1994. The proportion of missing external cause codes was about 25% at the end of the study period. The proportion of missing industry and occupational codes was less than 5% at the end of the study period.

CONCLUSION

Our findings show that complete, computerized, ED-based injury surveillance in rural EDs is possible and should be developed further.

摘要

研究目的

描述农村伤害监测系统（RISS）这一电子伤害监测系统的发展情况及完整性。

方法

爱荷华州九家农村医院的急诊科提交了1993年5月至1994年6月期间所有接受治疗患者的信息。

结果

急诊科提交了23,594名患者的信息，涉及32,445次不同的伤害、疾病或随访就诊。通过与手写的急诊科日志进行比较，RISS中也有90%的就诊记录。在RISS中记录的就诊记录中，99%也记录在日志中。缺失诊断代码的比例从1993年5月的22.6%降至1994年6月的8.1%。在研究期末，缺失外部原因代码的比例约为25%。在研究期末，缺失行业和职业代码的比例不到5%。