A Development of New Integrated Management System for Nursing Information

1.将医院信息系统（HIS）、护理手持信息终端（HT）、护理信息管理计算机站（ST）进行整合，主要进行了以下几个方面的研究：（1）开发护理记录中常用的标准叙述描述编码词典，（2）开发标准护理计划电子版框架和行动清单生成系统，（3）研究了一种用于收集由系统生成的行动清单的手持终端的体系结构;（4）原型开发了可从护理信息管理站检索的电子版内科教科书; 2.根据在神经外科病房进行的评价研究，实现了HIS、HT、ST是系统成功的重要因素，并且揭示了仅通过使用当前基于商业的HT不能实现必要的因素。原因在于（1）无线通信系统对于数据的实时同步是必要的，（2）由于对电池充电所需的时间很长，因此需要足够数量的替代终端，（3）需要实时双向通信功能，特别是从HIS、ST到HT的实时双向通信功能，以在任何时间使用任何终端。（1）发现系统必须具备真实的双向通信功能;（2）必须对护理记录进行计算机化处理，并对常用的典型描述进行系统化、字典化编码;（3）建立了电子护理计划的基本数据模型;（4）建立了电子护理记录交换的DTD。

1.To integrate hospital information system(HIS), handheld information terminal for nursing(HT), and computer station for nursing information management(ST), the following subjects have been conducted ; (1) development of coding dictionary of standard narrative description usually used in nursing records, (2) development of framework for electronic version of standard nursing plan and generation system for action lists, (3) investigation of an architecture of handheld terminals for gathering action lists generated by the system, (4) prototype development of electronic version of internal medicine textbook which can be retrieved from the nursing information management station.2.According to the evaluation study conducted in the ward of neurosurgery, data synchronization among HIS,HT,and ST is important factor for success of the system and it is revealed that the necessary factor could not be achieved only by the use of current commercial-based HT.The reasons are that (1) wireless communication systems are necessary for real-time synchronization of the data, (2) enough number of alternative terminals is necessary because the time needed for charging the batteries is so long, (3) real-time bidirectional communication functions, especially from the HIS,the ST toward the HTs, are needed to use any terminals at any time.3.The overall results are as follows, (1) it is found that the real time bidirectional communication functions are necessary for the system, (2) it is necessary to computerize nursing records and the typical descriptions usually used are systematized and coded in thr form of dictionary, (3) a basic data model for electronic nursing plan is created, and(4) the DTD for exchanging electronic nursing record has been created.