全科护理2025,Vol.23Issue(1) :12-15.DOI:10.12104/j.issn.1674-4748.2025.01.003

肺康复门诊个案管理信息系统的构建与应用

Construction and application of case management information system for pulmonary rehabilitation outpatient clinic

程鹤
全科护理2025,Vol.23Issue(1) :12-15.DOI:10.12104/j.issn.1674-4748.2025.01.003

肺康复门诊个案管理信息系统的构建与应用

Construction and application of case management information system for pulmonary rehabilitation outpatient clinic

程鹤1
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作者信息

  • 1. 266035,山东大学齐鲁医院(青岛)
  • 折叠

摘要

目的:基于决策支持系统及医院住院管理系统(HIS),开发个案管理师决策的肺康复门诊个案管理信息系统,为接受肺康复全程管理的病人建立连续监测电子档案.方法:由护理部、肺康复门诊与信息中心根据门诊开展全流程肺康复个案管理工作的需求,从个案管理师的视角科学设计个案管理电子模块,研发信息化个案管理系统软件,应用于临床实践.结果:构建了门诊收案、评估、会诊、治疗、随访及结案在内的全流程个案管理信息系统,系统应用后个案管理师对该系统的实用性、数据可靠性、决策支持力度、总体满意度评价均较高.结论:个案管理信息系统可为个案管理师提供科学、全流程及决策支持,更高效地帮助其开展门诊个案管理,推动个案管理从"手工文档管理"阶段进入到"数据信息管理"阶段.

Abstract

Objective:To develop a case management information system for pulmonary rehabilitation outpatient clinics based on decision support system and hospital HIS system,and to establish a continuous monitoring electronic file for patients who receive full management of pulmonary rehabilitation.Methods:The nursing department,the pulmonary rehabilitation clinic and the information center shall carry out the whole-process pulmonary rehabilitation case management according to the needs of the clinic.Results:The whole process case management information system including outpatient case receiving,evaluation,consultation,treatment,follow-up and case closing was constructed.After the application of the system,case managers had a high evaluation on the practicability,data reliability,decision support and overall satisfaction of the system.Conclusions:Case management information system can provide scientific,whole-process and decision support for case managers,help them to carry out outpatient case management more efficiently,and promote case management from"manual document management"stage to"data information management"stage.

关键词

个案管理/信息系统/肺康复/决策支持

Key words

case management/information system/pulmonary rehabilitation/decision support

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出版年

2025
全科护理
中华护理学会山西分会 山西医科大学护理学院

全科护理

影响因子:0.756
ISSN:1674-4748
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