摘要
目的 了解湖北省医疗机构医院感染管理信息化监测现况及其影响因素.方法 2023年4月7日—5月4日,采用网络问卷调查方式,对湖北省二级及以上医疗机构进行调查.结果 参与调查的482所医疗机构中,医院信息管理系统(HIS)、临床检验系统(LIS)、电子病历系统(EMR)、影像信息系统(RIS)、手术麻醉系统(AIMS)、移动护理系统(MNIS)的上线率分别为 84.65％、76.97％、89.21％、65.98％、43.98％、26.56％,不同规模医疗机构的上线率差异有统计学意义(P＜0.05);213所(44.19％)有独立医院感染监测系统,医疗机构是否上线独立医院监测系统与医院等级、类别、属性、床位数以及HIS、EMR等信息化基础建设有关(P＜0.05),且有独立医院感染监测系统的医疗机构更愿意参加感染监测数据上报(P＜0.05).结论 应加大对二级、专科、民营医疗机构的信息化建设支持力度,从而提升全省医院感染监测水平.
Abstract
OBJECTIVE To analyze the current situation of informationalized surveillance of nosocomial infection and its influencing factors in Hubei province.METHOD From Apr.7th to May 4th,2023,a network questionnaire was used to survey the secondary and tertiary hospitals in Hubei province.RESULTS Among the 482 hospitals par-ticipating in this survey,the rate of equipping hospital information system(HIS),laboratory information system(LIS),electronic medical records(EMR),radiology information system(RIS),anesthesia information manage-ment system(AIMS),mobile nursing information system(MNIS)were 84.65％ ,76.97％ ,89.21％ ,65.98％ ,43.98％ and 26.56％ ,respectively,with statistically significant difference in the online rates of medical institutions of different sizes(P＜0.05).213 hospitals(44.19％ )were equipped with independent system for nosocomial in-fection surveillance,and the application of independent system for nosocomial infection surveillance was associated with the level,category,attribute,number of beds,and also was related to the information construction such as HIS and EMR(P＜0.05).Moreover,hospitals with independent system for nosocomial infection surveillance were more willing to participate in reporting the surveillance data of nosocomial infection(P＜0.05).CONCLUSION The informationalized construction of nosocomial infection surveillance should be strengthened in secondary,specialized and private hospitals to promote the level of nosocomial infection surveillance in Hubei province.
基金项目
湖北省公共卫生领军人才资助项目(鄂卫通[2021]73号)
NETL
NSTL
万方数据