Information Technology-Based Management of Clinically Healthy COVID-19 Patients: Lessons From a Living and Treatment Support Center Operated by Seoul National University Hospital
Information Technology-Based Management of Clinically Healthy COVID-19 Patients: Lessons From a Living and Treatment Support Center Operated by Seoul National University Hospital
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DOI：
10.2196/19938
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发表时间：
2020-06-12
影响因子：
7.4
通讯作者：
Kang, EunKyo
中科院分区：
文献类型：
--
作者：
Bae, Ye Seul;Kim, Kyung Hwan;Kang, EunKyo
背景：韩国针对冠状病毒病（COVID-19）采取了先发制人的行动，实施了广泛的检测、彻底的流行病学调查、严格的社交距离以及根据疾病严重程度对患者进行快速治疗。韩国政府委托大型医院运营生活和治疗支持中心 (LTSC)，用于管理临床健康的 COVID-19 患者。目的：本文的目的是介绍我们在 COVID-19 LTSC 中实施基于信息和通信技术 (ICT) 的远程患者管理系统的经验。方法：我们采用了新的电子健康记录模板、医院信息系统 (HIS) 仪表板、基于云的医疗图像共享、移动应用程序和智能生命体征监测设备。结果： HIS 得到了增强，以协助 LTSC 的工作流程和患者护理。创建了一个仪表板，供医务人员查看所有患者的生命体征和症状。患者使用移动应用程序咨询医生或护士、回答问卷并输入自我测量的生命体征；结果实时上传至医院信息系统。基于云的图像共享实现了医疗机构之间的互操作性。韩国积极的缓解策略使感染率“曲线变平”。为了尽快开发支持生活和治疗支持中心患者护理和管理的系统，多学科方法是不可或缺的。结论：面对一种新型传染病，我们描述了在首尔大学医院附属 LTSC 中应用基于 ICT 的患者管理系统的实施和经验。基于信息通信技术的工具和应用在医疗保健中变得越来越重要，我们希望我们的经验能够为未来基于技术的传染病应对提供见解。
Background: South Korea took preemptive action against coronavirus disease (COVID-19) by implementing extensive testing, thorough epidemiological investigation, strict social distancing, and rapid treatment of patients according to disease severity. The Korean government entrusted large-scale hospitals with the operation of living and treatment support centers (LTSCs) for the management for clinically healthy COVID-19 patients.Objective: The aim of this paper is to introduce our experience implementing information and communications technology (ICT)-based remote patient management systems at a COVID-19 LTSC.Methods: We adopted new electronic health record templates, hospital information system (HIS) dashboards, cloud-based medical image sharing, a mobile app, and smart vital sign monitoring devices.Results: Enhancements were made to the HIS to assist in the workflow and care of patients in the LTSC. A dashboard was created for the medical staff to view the vital signs and symptoms of all patients. Patients used a mobile app to consult with their physician or nurse, answer questionnaires, and input self-measured vital signs; the results were uploaded to the hospital information system in real time. Cloud based image sharing enabled interoperability between medical institutions. Korea's strategy of aggressive mitigation has "flattened the curve" of the rate of infection. A multidisciplinary approach was integral to develop systems supporting patient care and management at the living and treatment support center as quickly as possible.Conclusions: Faced with a novel infectious disease, we describe the implementation and experience of applying an ICT-based patient management system in the LTSC affiliated with Seoul National University Hospital. ICT-based tools and applications are increasingly important in health care, and we hope that our experience will provide insight into future technology-based infectious disease responses.