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首页> 外文期刊>International journal of medical informatics >Electronically implemented clinical indicators based on a data warehouse in a tertiary hospital: Its clinical benefit and effectiveness
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Electronically implemented clinical indicators based on a data warehouse in a tertiary hospital: Its clinical benefit and effectiveness

机译：基于三级医院数据仓库的电子实现的临床指标：其临床效益和有效性

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Objective: Assessing and monitoring care and service using clinical indicators (CIs) can allow the measurement of and lead to improvements in the quality of care. However, the management and maintenance of CI data has been shown to be difficult because the data are usually collected and provided manually. In this study, for the purpose of efficient managing quality indicators, a data warehouse (DW)-based CI monitoring system was developed. The clinical effectiveness and efficiency of a DW-based CI monitoring was investigated through several case studies of the system's operation at a tertiary hospital. Methods: This study analyzed the CIs that have been developed over the past 8 years at a 1340-bed tertiary general university hospital in South Korea to improve and monitor the quality of care and patient safety. The hospital was opened as a fully digital hospital in 2003, and the CIs were computerized in 2005 by implementing a DW-based CI monitoring system. We classified the computerized CIs and evaluated the monitoring results for several representative CIs, such as the optimal prescribing of preventive antibiotics, the average length of stay, the mortality rate, and the rehospitalization rate. Results: During the development of the system in 2005, 12 of 19 CIs were computerized, and this number gradually increased until 299 of 335 CIs were computerized by 2012. In addition, among the CIs built computationally through the CI task force team, focal CIs subject to monitoring were selected annually, and the results of this monitoring were shared with all of the staff or the related department and its staff. By providing some examples of our CI monitoring results, we showed the feasibility of improving the quality of care, and maintaining the optimum level of patient care with less labor. Conclusions: The results of this study provide evidence regarding the clinical effectiveness and efficiency as well as the systems operation experience of a DW-based CI monitoring system. These findings may aid medical institutions that plan on computerizing CIs with respect to decision and policy making regarding their systems development and operations.
机译：目的：使用临床指标（CI）评估和监测护理和服务可以衡量并改善护理质量。但是，由于通常是手动收集和提供数据，因此显示出对CI数据的管理和维护非常困难。在本研究中，为了有效管理质量指标，开发了基于数据仓库（DW）的CI监控系统。通过对一家三级医院系统操作的案例研究，研究了基于DW的CI监测的临床有效性和效率。方法：本研究分析了过去8年间在韩国拥有1340张病床的第三级普通大学医院开发的CI，以改善和监测护理质量和患者安全。该医院于2003年以全数字化医院的形式开放，并在2005年通过实施基于DW的CI监控系统对CI进行了计算机处理。我们对计算机CIs进行了分类，并评估了几种代表性CIs的监测结果，例如预防性抗生素的最佳处方，平均住院时间，死亡率和重新住院率。结果：在该系统的2005年开发过程中，19个配置项的12个被计算机化，并且这一数目逐渐增加，到2012年为止，335个配置项的299个被计算机化。此外，在通过配置项工作组以计算方式构建的配置项中，焦点配置项每年选择要接受监视的对象，并将监视结果与所有员工或相关部门及其员工共享。通过提供一些我们的CI监测结果的示例，我们展示了提高护理质量并以更少的劳动力保持最佳患者护理水平的可行性。结论：这项研究的结果提供了有关基于DW的CI监控系统的临床有效性和效率以及系统操作经验的证据。这些发现可能会帮助计划将CI进行计算机化的医疗机构进行有关系统开发和操作的决策和决策。

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