目的 對北京小湯山醫(yī)院680例臨床確診的SARS患者原始診療信息資源進行總結(jié)與整合,為國家建立和完善突發(fā)公共衛(wèi)生事件臨床研究數(shù)據(jù)庫提供決策參考.
方法 從小湯山醫(yī)院的醫(yī)院信息系統(tǒng)采集680例臨床確診的SARS患者病案首頁、病歷、醫(yī)囑、化驗、檢查、生命體征、手術(shù)、診斷和費用信息,采用Delphi語言編程開發(fā)數(shù)據(jù)質(zhì)量核查軟件和Oracle數(shù)據(jù)庫管理技術(shù)整合SARS診療信息,建立SARS診療信息展示與查詢平臺.
結(jié)果 小湯山醫(yī)院SARS診療信息數(shù)據(jù)庫共收錄了680例臨床確診的SARS患者109萬余條臨床診療信息記錄、病案文本文件、X線胸片和CT圖像文件.按展示功能可將該系統(tǒng)分為條件設(shè)置欄、查詢結(jié)果主記錄瀏覽窗口和病案信息瀏覽窗口3部分,以提供病人診療信息、醫(yī)院質(zhì)量管理信息及SARS臨床、經(jīng)濟、基礎(chǔ)和管理研究信息,為挖掘和合成數(shù)據(jù)提供平臺.所有數(shù)據(jù)的質(zhì)量控制采用SARS診療質(zhì)量實時控制軟件和數(shù)據(jù)質(zhì)量核查軟件.
結(jié)論 小湯山醫(yī)院SARS診療信息數(shù)據(jù)庫完整、安全地保存了所有原始數(shù)據(jù),臨床信息數(shù)量大、質(zhì)量高,為搭建最好的SARS臨床診治、科學(xué)研究和政策研究技術(shù)平臺提供了保證,使這些寶貴數(shù)據(jù)的深度挖掘、加工合成、規(guī)律總結(jié)、原因探索成為可能,也使信息共享、合作研究、人才培養(yǎng)變?yōu)楝F(xiàn)實.
引用本文: 董軍,劉志敏,曹秀堂,李幼平,孫鑫,周亞春,張雁靈,解立新,徐武夷,王海濤,許紅民. 小湯山醫(yī)院SARS診療信息數(shù)據(jù)庫建設(shè). 中國循證醫(yī)學(xué)雜志, 2004, 04(3): 181-186. doi: 復(fù)制
版權(quán)信息: ?四川大學(xué)華西醫(yī)院華西期刊社《中國循證醫(yī)學(xué)雜志》版權(quán)所有,未經(jīng)授權(quán)不得轉(zhuǎn)載、改編
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- 3. [2]Beijing health workers use database to combat SARS [ EB/ OL]. URL: http://www. inq7. net/inf/2003/may/07/inf_3-1. btm, 2003-05-06.
- 4. [3]SARS database keeps authorities updated[ EB/OL]. URL: http ://www. cctv. com/english/news/TVNews/MomingNews/20030410/100583. html, 2003-04-10.
- 5. [4]何文欣.我國建沙斯資料數(shù)據(jù)庫[EB/OL]URL:http://www. zaobao. com /special/pneumonia/pages2/pneumonia190603b. htrnl, 2003-06-18.
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- 9. 傅征,任連仲.醫(yī)院信息系統(tǒng)建設(shè)與應(yīng)用[M].北京:人民軍醫(yī)出版社,2002.
- 10. [7]National Ministry of Health. The recommended cure project for severe acute respiratory syndrome[ S]. 2003-05-04.
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- 15. 何劍鋒,彭國文,鄭慧貞,羅會明,梁文佳,李靈輝,郭汝寧,鄧卓暉.廣東省13市傳染性非典型肺炎首發(fā)病例流行病學(xué)分析[J].中華流行病學(xué)雜志,2003;24(5):347-349.
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- 18. [11]Zhao CH, Guo YB, Wu H. Clinical characteristic, cureeffect and transformation analysis of 108 SARS Cases in Beijing[J]. National Medical Journal of China, 2003; 11:73-77.
- 19. 趙春惠,郭雁賓,吳昊.北京地區(qū)108例SARS患者臨床特征、治療效果及轉(zhuǎn)歸分析[J].中華醫(yī)學(xué)雜志,2003;11:73-77.
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- 21. 鐘南山.SARS 臨床診治現(xiàn)狀[N].中國醫(yī)學(xué)論壇報,2003-04-24.
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- 26. [15]Cao RG, Zhu SJ. Hospital management-quality management[M]. Beijing: People’ s Health Publisher, 2003. 302-308.
- 27. 曹榮桂,朱士俊.醫(yī)院管理學(xué)質(zhì)量管理分冊[M].北京:人民衛(wèi)生出版社,2003.302-308.
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- 31. 董軍,曹秀堂,薛萬國,張宏雁.病案質(zhì)量實時控制的方法[J].中華醫(yī)院管理雜志,2002;18(6):338-339.
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- 35. 代偉,董軍,劉殿榮,黃峰軍.病案首頁信息質(zhì)量保證[J].解放軍醫(yī)院管理雜志,2001,8(5):345-348.