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首页> 外文期刊>BMC Medical Informatics and Decision Making >Does introduction of a Patient Data Management System (PDMS) improve the financial situation of an intensive care unit?
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Does introduction of a Patient Data Management System (PDMS) improve the financial situation of an intensive care unit?

机译：引入患者数据管理系统（PDMS）是否可以改善重症监护室的财务状况？

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Background Patient Data Management Systems (PDMS) support clinical documentation at the bedside and have demonstrated effects on completeness of patient charting and the time spent on documentation. These systems are costly and raise the question if such a major investment pays off. We tried to answer the following questions: How do costs and revenues of an intensive care unit develop before and after introduction of a PDMS? Can higher revenues be obtained with improved PDMS documentation? Can we present cost savings attributable to the PDMS? Methods Retrospective analysis of cost and reimbursement data of a 25 bed Intensive Care Unit at a German University Hospital, three years before (2004–2006) and three years after (2007–2009) PDMS implementation. Results Costs and revenues increased continuously over the years. The profit of the investigated ICU was fluctuating over the years and seemingly depending on other factors as well. We found a small increase in profit in the year after the introduction of the PDMS, but not in the following years. Profit per case peaked at 1039 € in 2007, but dropped subsequently to 639 € per case. We found no clear evidence for cost savings after the PDMS introduction. Our cautious calculation did not consider additional labour costs for IT staff needed for system maintenance. Conclusions The introduction of a PDMS has probably minimal or no effect on reimbursement. In our case the observed increase in profit was too small to amortize the total investment for PDMS implementation. This may add some counterweight to the literature, where expectations for tools such as the PDMS can be quite unreasonable.
机译：背景技术患者数据管理系统（PDMS）在床边支持临床文档编制，并已证明对患者图表完整性和花费在文档编制上的时间有影响。这些系统成本高昂，并且引起了这样的重大投资是否还清的问题。我们试图回答以下问题：在引入PDMS之前和之后，重症监护病房的成本和收入如何发展？改进的PDMS文档能否获得更高的收入？我们能否提出可归因于PDMS的成本节省？方法对PDMS实施前三年（2004- 2006年）和三年后（2007- 2009年）德国大学医院25张床位重症监护病房的费用和报销数据进行回顾性分析。结果多年来，成本和收入不断增长。这些年来，被调查ICU的利润一直在波动，而且似乎还取决于其他因素。在引入PDMS之后的一年中，我们发现利润有所增加，但在接下来的几年中却没有。每箱利润在2007年达到1039欧元的峰值，但随后下降至每箱639欧元。在引入PDMS之后，我们没有找到节省成本的明确证据。我们的谨慎计算未考虑系统维护所需的IT人员的额外人工成本。结论引入PDMS可能对报销影响很小或没有影响。在我们的案例中，观察到的利润增长太小，无法摊销用于PDMS实施的总投资。这可能会增加文献的平衡，因为对PDMS等工具的期望可能非常不合理。

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