• 1. 解放軍總醫(yī)院醫(yī)療質(zhì)量管理研究科,北京,1008532. 四川大學(xué)華西醫(yī)院,中國循證醫(yī)學(xué)中心,成都,6100413. 解放軍小湯山醫(yī)院,北京,102211;

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

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  1. 1. ［1］Dong J, Zhang YL, XuWY, XuHM, Wang W, Shang B,Cao XT, Liu ZM. Establishment of diagnosis and treatment project for SAR S [ J ]. Hospital Administration Journal of Chinese People’s Liberation Army, 2003; 10(5): 420-423.
  2. 2. 董軍,張雁靈,徐武夷,許紅明,王巍,商斌,曹秀堂,劉志敏.SARS診療信息方案擬定[J].解放軍醫(yī)院管理雜志,2003;10(5):420-423.
  3. 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. 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. 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.
  6. 6. ［5］Dong J, Cao XT, Sun X, Zhou YC, Chen HW, Yuan ZJ,Liu ZM, Wang HT, Xu HM. Medical expenditure and influential factors analysis of 680 SARS cases[J]. Chinese Journal of Evidenee-Based Medicine, 2003; 3(3): 222-230.
  7. 7. 董軍,曹秀堂,孫鑫,周亞春,陳杭薇,袁志軍,劉志敏,王海濤,許紅民.680例SARS臨床確診患者醫(yī)療費用和影響因素分析[J].中國循證醫(yī)學(xué)雜志,2003;3(3):222-230.
  8. 8. ［6］Fu Z, Ren LZ. Hospital information system construction and application[ M]. Beijing: People’s Military Publisher, 2002.
  9. 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. 10. ［7］National Ministry of Health. The recommended cure project for severe acute respiratory syndrome[ S]. 2003-05-04.
  11. 11. 國家衛(wèi)生部辦公廳.傳染性非典型肺炎推薦治療方案[S].2003-05-04.
  12. 12. ［8］ChineseCenter of disease prevention and control. The brochure of severe acute respiratory syndrome[ M]. Beijing:.
  13. 13. 中國疾病預(yù)防控制中心.傳染性非典型性肺炎防治問答[M]北京:中國協(xié)和醫(yī)科大學(xué)出版社.2003.
  14. 14. ［9］He JF, Peng GW, Zheng HZ, Luo HM, Liang WJ, Li LH,Guo RN, Deng ZH. An epidemiology study on the index case of severe acute respiratory syndrome occurred in 13 cities in Guangdong Province[J]. Chinese Journal of epidemiology,2003; 24(5): 347-349.
  15. 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.
  16. 16. ［10］Wang M, Du L, Zhou DH, DiB, LiuYF, QinPZ, Wu XW, Chen XS, Qin JC, Li ZR. Study on the epidemiology and measures for control of severe acute respiratory syndrome in Guangzhou city [ J ]. Chinese Journal of epidemiology,2003; 24(5): 353-357.
  17. 17. 王鳴,杜琳,周端華,狄飆,劉正飛,秦鵬哲,吳新偉,陳小霜,邱季春,李澤榮.廣州市傳染性非典型肺炎流行病學(xué)及預(yù)防控制效果的初步研究[J].中華流行病學(xué)雜志,2003; 24 (5): 353-357.
  18. 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. 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.
  20. 20. ［12］Zhong NS. Actuality of SARS clinical diagnosis and treatment[ NJ. Chinese Medicine Forum Paper, 2003-04-24.
  21. 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.
  22. 22. ［13］Lin ZM. Applicable management project for Oracle database[M]. Beijing: Electronic Industry Publisher, 2002.
  23. 23. 劉志敏Oracle數(shù)據(jù)庫應(yīng)用管理解決方案[M].北京:電子工業(yè)出版社.2002.
  24. 24. ［14］Zhang LP. Military hospital management[M]. Beijing: People’s Military Publisher, 1997. P. 382.
  25. 25. 張立平.軍隊醫(yī)院管理學(xué)[M].北京:人民軍醫(yī)出版社,1997.382.
  26. 26. ［15］Cao RG, Zhu SJ. Hospital management-quality management[M]. Beijing: People’ s Health Publisher, 2003. 302-308.
  27. 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.
  28. 28. ［16］DongJ, WangXZ, GaoJ, DaiW, HuDK, Cao XT. A brief account of the studies on guaranteeing the information quality(IQ) of HIS[J]. Chin J of Hosp Admin, 2001; 17(1): 11-14.
  29. 29. 董軍,王曉鐘,高筠,代偉,胡德奎,曹秀堂.醫(yī)院信息系統(tǒng)信息質(zhì)量保證研究概述[J].中華醫(yī)院管理雜志,2001;17(1) :11-14.
  30. 30. ［17］Dong J, Cao XT, Xue WG, Zhang HY. Methods for realtime control on illness case[J]. Chin J ofHosp Admin, 2002;18(6): 338-339.
  31. 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.
  32. 32. ［18］Dong J, Zhu SJ, Hu DK, Huang FJ, Shi BH, Cao XT.Study ofreal-time control on case quality expenditure[J]. Academic Journal of PLA Postgraduate Medical School, 2001; 22(3): 232-234.
  33. 33. 董軍,朱士俊,胡德奎,黃峰軍,石冰河,曹秀堂.病種質(zhì)量費用實時控制研究[J].軍醫(yī)進修學(xué)院學(xué)報,2001;22(3): 232-234.
  34. 34. ［19］Dai W, Dong J, Liu DR, Huang FJ. Quality assurance of information on tirst page of fillness case[J]. Hospital Administration Journal of Chinese People’ s Liberation Army, 2001; 8(5): 345-348.
  35. 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.