医院胸痛中心信息系统的需求分析与设计
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摘要
目的:分析设计医院胸痛中心信息系统,以提高急诊胸痛患者的整体救治水平,缩短胸痛患者到院后等待诊断治疗的时间。方法:利用4G网络、物联网、虚拟专用拨号网络(VPDN)和胸痛系统将急救车上收集到的患者医疗数据实时发送到院内,院内心电图室医生及急诊科医生、心内科医生根据接收到的心电图等数据对患者病情进行分析报告、急救指导、手术及治疗准备等一系列的操作。结果:患者的病情在院前已得到初步确诊,院内也已做好介入手术准备,患者到达医院后,可绕行急诊科直接进入导管室救治。结论:通过胸痛中心信息系统可以弥补院前急救队伍技术力量不足的问题,缩短胸痛患者的救治时间,提高抢救成功率。
Objective: To analyze and design the information system of chest pain center so as to improve the overall treatment level for patients with chest pain in emergency department, and to shorten the waiting time of diagnosis and treatment after they achieved hospital. Methods: Using 4 G network, internet of things, virtual private dial-up networks(VPDN) and information system of chest pain to send real-timely medical data of patient from ambulance to hospital. And then doctors of electrocardiographic room, emergency department and cardiology department implemented analysis report, first-aid guidance, preparation of surgery and treatment and other series of operation. Results: Patient's condition has been preliminarily confirmed before they arrived the hospital, and the doctors has completed preparation of interventional operation. When the patient arrived at the hospital, he could directly were sent into the catheterization room to receive treatment but need not be confirmed again by emergency room. Conclusion: This system can supplement the shortage of technical force of pre-hospital first-aid team, and shorten the treatment time of patients with chest pain, and improve the success rate of rescue.
Objective: To analyze and design the information system of chest pain center so as to improve the overall treatment level for patients with chest pain in emergency department, and to shorten the waiting time of diagnosis and treatment after they achieved hospital. Methods: Using 4 G network, internet of things, virtual private dial-up networks(VPDN) and information system of chest pain to send real-timely medical data of patient from ambulance to hospital. And then doctors of electrocardiographic room, emergency department and cardiology department implemented analysis report, first-aid guidance, preparation of surgery and treatment and other series of operation. Results: Patient's condition has been preliminarily confirmed before they arrived the hospital, and the doctors has completed preparation of interventional operation. When the patient arrived at the hospital, he could directly were sent into the catheterization room to receive treatment but need not be confirmed again by emergency room. Conclusion: This system can supplement the shortage of technical force of pre-hospital first-aid team, and shorten the treatment time of patients with chest pain, and improve the success rate of rescue.
引文
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[2]王斌,王焱,叶涛,等.区域协同ST段抬高型心肌梗死救治网络建设探讨[J].中华心血管病杂志,2014,42(8):650-654.
[3]中国胸痛中心认证工作委员会.中国胸痛中心认证标准(2015年11月修订)[J].中国介入心脏病学杂志,2016,3(24):121.
[4]董海,荆全民,徐凯,等.胸痛中心的成立对急性ST段抬高型心肌梗死患者救治的影响[J].解放军医学杂志,2016,41(6):453-455.
[5]林梵.胸痛中心管理模式在急性肺动脉栓塞患者救治的作用[J].中国数字医学,2015,10(9):31.
[6]张芹,邹利群,张伟,等.胸痛中心成立对急性心肌梗死患者诊疗效率和效果的影响[J].中华危重病急救医学,2016,7(28):640-641.
[7]易绍东,向定成.胸痛中心的建设理念与目标[J].中华心血管病杂志,2014,42(8):639-640.
[8]秦伟毅,钱洪津.胸痛中心急救网点的建立及快速转运机制[J].中国急救医学,2012,32(3):274-277.
[9]代振英.MVC模式研究及应用[D].济南:山东科技大学,2014:17-19.
[10]汪瑞嵘.基于SOA的软件公共服务平台设计与实现[D].上海:上海交通大学,2012:7-10.
[11]田燕,向仕平,周民伟,等.基于移动物联网的首个远程胸痛急救网之成功案例[C].2012中华医院信息网络大会暨第五届中美医院信息化论坛,2012.